Pro Active Advantage, Llc in Gooding - Rehabilitation
Pro Active Advantage, Llc - NPI 1427170133
Pro Active Advantage, Llc is a Rehabilitation in Gooding, Idaho. Pro Active Advantage, Llc practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Pro Active Advantage, Llc is 1427170133. The last update date is 2021-09-15.
Pro Active Advantage, Llc's current location address is 215 University Dr, Gooding, Idaho. You can contact this provider via phone number 2089345880 and fax number 2089345876. The mailing address for Pro Active Advantage, Llc is 215 University Dr, Gooding, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pro Active Advantage, Llc |
|---|---|
| Address | 215 University Dr, Gooding, Idaho |
| Phone Number | 2089345880 |
| Fax Number | 2089345876 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Knight J. Frank |
| Telephone Number | 2089345880 |
NPI Number Detail
| NPI Number | 1427170133 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2021-09-15 |
Provider Mailing Address Detail
| Address | 215 University Dr |
|---|---|
| City | Gooding |
| State | Idaho (ID) |
| Post Code | 833306155 |
| Phone Number | 2089345880 |
| Fax Number | 2089345876 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 103Tr0400X |
|
Definition: A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8062720 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pro Active Advantage, Llc by the Centers for Medicare & Medicaid Services?
The Pro Active Advantage, Llc has been issued the NPI (National Provider Identifier) 1427170133, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pro Active Advantage, Llc's physical address?
The Pro Active Advantage, Llc is physically located at 215 University Dr, in the city of Gooding, ID, with the postal code 833306155.
What is Pro Active Advantage, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pro Active Advantage, Llc is Rehabilitation, and the taxonomy code that classifies this field of practice is 103Tr0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427170133 to Pro Active Advantage, Llc?
The Pro Active Advantage, Llc received its 1427170133 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the information pertaining to Pro Active Advantage, Llc most recently updated or revised?
The details related to Pro Active Advantage, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2021-09-15.
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