Diane Rene' Rager in Decatur - Developmental Therapist

Diane Rene' Rager - NPI 1548481930

Diane Rene' Rager is a Developmental Therapist in Decatur, Illinois. Diane Rene' Rager practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Diane Rene' Rager is 1548481930. The last update date is 2007-07-09.

Diane Rene' Rager's current location address is 1335 W Ravina Ave, Decatur, Illinois. You can contact this provider via phone number 2179721553 and fax number 2178721491. The mailing address for Diane Rene' Rager is 1335 W Ravina Ave, Decatur, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Rene' Rager
Address 1335 W Ravina Ave, Decatur, Illinois
Phone Number 2179721553
Fax Number 2178721491
Sole Proprietor Y
Credentials B.S.

NPI Number Detail

NPI Number 1548481930
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1335 W Ravina Ave
City Decatur
State Illinois (IL)
Post Code 625263136
Phone Number 2179721553
Fax Number 2178721491

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
Definition:
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
55 IL --

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FAQs about Diane Rene' Rager

What is the unique 10-digit identifier code issued to Diane Rene' Rager by the Centers for Medicare & Medicaid Services?

The Diane Rene' Rager has been assigned the NPI (National Provider Identifier) 1548481930 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Diane Rene' Rager's facilities are situated?

The facilities of Diane Rene' Rager are physically located at the following address: 1335 W Ravina Ave, Decatur, IL, 625263136.

What is Diane Rene' Rager's area of expertise and its corresponding taxonomy classification?

The Diane Rene' Rager's field of specialization is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1548481930 to Diane Rene' Rager?

The Diane Rene' Rager received its 1548481930 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.

When was the information regarding Diane Rene' Rager, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Diane Rene' Rager, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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