Tracey L Fowl in Elizabethtown - Developmental Therapist
Tracey L Fowl - NPI 1023279189
Tracey L Fowl is a Developmental Therapist in Elizabethtown, Kentucky. Tracey L Fowl practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Tracey L Fowl is 1023279189. The last update date is 2013-03-08.
Tracey L Fowl's current location address is 1651 Optimist Rd, Elizabethtown, Kentucky. You can contact this provider via phone number 2707638011 and fax number 2707638011. The mailing address for Tracey L Fowl is 1651 Optimist Rd, Elizabethtown, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tracey L Fowl |
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Address | 1651 Optimist Rd, Elizabethtown, Kentucky |
Phone Number | 2707638011 |
Fax Number | 2707638011 |
Sole Proprietor | Y |
Credentials | MASTERS IN |
NPI Number Detail
NPI Number | 1023279189 |
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Provider Enumeration Date | 2008-06-21 |
Last Updated Date | 2013-03-08 |
Provider Mailing Address Detail
Address | 1651 Optimist Rd |
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City | Elizabethtown |
State | Kentucky (KY) |
Post Code | 427016152 |
Phone Number | 2707638011 |
Fax Number | 2707638011 |
Provider's Primary Taxonomy Detail
Speciality | Developmental Therapist |
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Taxonomy | 222Q00000X |
Licence No | EPSB ID: 718 |
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 |
Post Comment/ Review Below
What is the unique identifier code issued to Tracey L Fowl by the Centers for Medicare & Medicaid Services?
The Tracey L Fowl has been assigned the NPI (National Provider Identifier) 1023279189. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Tracey L Fowl is located?
The Tracey L Fowl is situated at the following address: 1651 Optimist Rd, Elizabethtown, KY, 427016152.
What is Tracey L Fowl's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tracey L Fowl is Developmental Therapist, and the corresponding taxonomy classification code for this specialized field is 222Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023279189 to Tracey L Fowl?
The Centers for Medicare & Medicaid Services originally issued the 1023279189 to Tracey L Fowl on 2008-06-21.
When was the information regarding Tracey L Fowl most recently updated?
The details pertaining to the Tracey L Fowl, including its address, specialty, and other relevant information, were last refreshed on 2013-03-08.