Amy Michelle Willcockson in Long Lake - Rehabilitation

Amy Michelle Willcockson - NPI 1942337696

Amy Michelle Willcockson is a Rehabilitation in Long Lake, Minnesota. Amy Michelle Willcockson practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Amy Michelle Willcockson is 1942337696. The last update date is 2007-07-08.

Amy Michelle Willcockson's current location address is 1850 W Wayzata Blvd, Long Lake, Minnesota. You can contact this provider via phone number 9524762260 and fax number 9524764457. The mailing address for Amy Michelle Willcockson is 1850 W Wayzata Blvd, Long Lake, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy Michelle Willcockson
Address 1850 W Wayzata Blvd, Long Lake, Minnesota
Phone Number 9524762260
Fax Number 9524764457
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1942337696
Provider Enumeration Date 2007-02-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1850 W Wayzata Blvd
City Long Lake
State Minnesota (MN)
Post Code 553569491
Phone Number 9524762260
Fax Number 9524764457

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 111Nr0400X
Licence No 3845
Definition:
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an

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FAQs about Amy Michelle Willcockson

What is the Amy Michelle Willcockson's unique identification number?

The Amy Michelle Willcockson has been assigned the NPI (National Provider Identifier) Number 1942337696 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Amy Michelle Willcockson is physically located?

The Amy Michelle Willcockson is physically situated at the following address: 1850 W Wayzata Blvd, Long Lake, MN, 553569491.

What is Amy Michelle Willcockson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Amy Michelle Willcockson's area of specialization is Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 111Nr0400X.

When was the Amy Michelle Willcockson's 1942337696 issued?

The Amy Michelle Willcockson's 1942337696 was issued on 2007-02-28.

As of what date were the details related to Amy Michelle Willcockson most recently updated or revised?

The information pertaining to Amy Michelle Willcockson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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