Marietta Physical Rehab, L.L.C. in Marietta - Sports Physician
Marietta Physical Rehab, L.L.C. - NPI 1124296074
Marietta Physical Rehab, L.L.C. is a Sports Physician in Marietta, Georgia. Marietta Physical Rehab, L.L.C. practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Marietta Physical Rehab, L.L.C. is 1124296074. The last update date is 2009-02-16.
Marietta Physical Rehab, L.L.C.'s current location address is 2359 Windy Hill Rd Se, Marietta, Georgia. You can contact this provider via phone number 7709880033 and fax number 7709880220. The mailing address for Marietta Physical Rehab, L.L.C. is 2359 Windy Hill Rd Se, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marietta Physical Rehab, L.L.C. |
|---|---|
| Address | 2359 Windy Hill Rd Se, Marietta, Georgia |
| Phone Number | 7709880033 |
| Fax Number | 7709880220 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Weeks G Jason |
| Credentials | D.C. |
| Telephone Number | 7709880033 |
NPI Number Detail
| NPI Number | 1124296074 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2009-02-16 |
Provider Mailing Address Detail
| Address | 2359 Windy Hill Rd Se |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300678638 |
| Phone Number | 7709880033 |
| Fax Number | 7709880220 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CHIR006842 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the unique identifier code issued to Marietta Physical Rehab, L.L.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Marietta Physical Rehab, L.L.C. has been assigned the NPI (National Provider Identifier) 1124296074. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Marietta Physical Rehab, L.L.C. is located?
The Marietta Physical Rehab, L.L.C. is situated at the following address: 2359 Windy Hill Rd Se, Marietta, GA, 300678638.
What is Marietta Physical Rehab, L.L.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Marietta Physical Rehab, L.L.C.'s area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124296074 to Marietta Physical Rehab, L.L.C.?
The Marietta Physical Rehab, L.L.C. received its 1124296074 assignment from the Centers for Medicare & Medicaid Services on 2008-02-13.
As of what date was the information regarding Marietta Physical Rehab, L.L.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marietta Physical Rehab, L.L.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-16.