Joni Dawn Utlaut in Mulkeytown - Developmental Therapist
Joni Dawn Utlaut - NPI 1477675395
Joni Dawn Utlaut is a Developmental Therapist in Mulkeytown, Illinois. Joni Dawn Utlaut practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Joni Dawn Utlaut is 1477675395. The last update date is 2007-07-08.
Joni Dawn Utlaut's current location address is 8724 Main St, Mulkeytown, Illinois. You can contact this provider via phone number 6187241026 and fax number 6187241026. The mailing address for Joni Dawn Utlaut is 8724 Main St, Mulkeytown, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joni Dawn Utlaut |
|---|---|
| Address | 8724 Main St, Mulkeytown, Illinois |
| Phone Number | 6187241026 |
| Fax Number | 6187241026 |
| Sole Proprietor | Y |
| Credentials | DT |
NPI Number Detail
| NPI Number | 1477675395 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8724 Main St |
|---|---|
| City | Mulkeytown |
| State | Illinois (IL) |
| Post Code | 628652631 |
| Phone Number | 6187241026 |
| Fax Number | 6187241026 |
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 |
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What is the Joni Dawn Utlaut's unique identification number?
The Joni Dawn Utlaut has been assigned the NPI (National Provider Identifier) Number 1477675395 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 Joni Dawn Utlaut is physically located?
The Joni Dawn Utlaut is physically situated at the following address: 8724 Main St, Mulkeytown, IL, 628652631.
What is Joni Dawn Utlaut's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Joni Dawn Utlaut is Developmental Therapist, and the taxonomy classification code that categorizes this area of expertise is 222Q00000X.
On what date was the 1477675395 assigned to Joni Dawn Utlaut?
The Joni Dawn Utlaut was issued its 1477675395 on 2007-04-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Joni Dawn Utlaut's details last updated?
The information pertaining to the Joni Dawn Utlaut, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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