Michelle M Kroll in Galesburg - Developmental Therapist
Michelle M Kroll - NPI 1265650303
Michelle M Kroll is a Developmental Therapist in Galesburg, Illinois. Michelle M Kroll practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Michelle M Kroll is 1265650303. The last update date is 2007-07-08.
Michelle M Kroll's current location address is 1180 N Prairie St, Galesburg, Illinois. You can contact this provider via phone number 3093427377. The mailing address for Michelle M Kroll is 1180 N Prairie St, Galesburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle M Kroll |
|---|---|
| Address | 1180 N Prairie St, Galesburg, Illinois |
| Phone Number | 3093427377 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265650303 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1180 N Prairie St |
|---|---|
| City | Galesburg |
| State | Illinois (IL) |
| Post Code | 614012758 |
| Phone Number | 3093427377 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Michelle M Kroll by the Centers for Medicare & Medicaid Services (CMS)?
The Michelle M Kroll has been assigned the NPI (National Provider Identifier) 1265650303. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Michelle M Kroll?
The Michelle M Kroll is physically situated at 1180 N Prairie St, in the city of Galesburg, state of IL, with the postal code 614012758.
What is Michelle M Kroll's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michelle M Kroll's area of specialization is Developmental Therapist, and the corresponding taxonomy code that categorizes this field of practice is 222Q00000X.
On what date did the Michelle M Kroll receive the assignment of its 1265650303 from the Centers for Medicare & Medicaid Services?
The Michelle M Kroll was issued its 1265650303 by the Centers for Medicare & Medicaid Services on 2007-04-23.
As of what date was the information regarding Michelle M Kroll, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michelle M Kroll, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA