Michelle Lea Fulk in Beloit - Developmental Therapist
Michelle Lea Fulk - NPI 1063621498
Michelle Lea Fulk is a Developmental Therapist in Beloit, Wisconsin. Michelle Lea Fulk practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Michelle Lea Fulk is 1063621498. The last update date is 2007-07-08.
Michelle Lea Fulk's current location address is 2530 Shady Ln, Beloit, Wisconsin. You can contact this provider via phone number 6083619881. The mailing address for Michelle Lea Fulk is 2530 Shady Ln, Beloit, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Lea Fulk |
|---|---|
| Address | 2530 Shady Ln, Beloit, Wisconsin |
| Phone Number | 6083619881 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063621498 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2530 Shady Ln |
|---|---|
| City | Beloit |
| State | Wisconsin (WI) |
| Post Code | 535117029 |
| Phone Number | 6083619881 |
| 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 10-digit identifier code issued to Michelle Lea Fulk by the Centers for Medicare & Medicaid Services?
The Michelle Lea Fulk has been assigned the NPI (National Provider Identifier) 1063621498 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 Michelle Lea Fulk's facilities are situated?
The facilities of Michelle Lea Fulk are physically located at the following address: 2530 Shady Ln, Beloit, WI, 535117029.
What is Michelle Lea Fulk's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michelle Lea Fulk's specialized field of practice is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 222Q00000X.
On what date did the Michelle Lea Fulk receive the assignment of its 1063621498 from the Centers for Medicare & Medicaid Services?
The Michelle Lea Fulk was issued its 1063621498 by the Centers for Medicare & Medicaid Services on 2007-05-22.
As of what date was the information pertaining to Michelle Lea Fulk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michelle Lea Fulk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.