Brett Qualls in Lake Havasu City - Physical Therapist
Brett Qualls - NPI 1215105630
Brett Qualls is a Physical Therapist in Lake Havasu City, Arizona. Brett Qualls practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Brett Qualls is 1215105630. The last update date is 2017-03-25.
Brett Qualls's current location address is 191 Swanson Ave, Lake Havasu City, Arizona. You can contact this provider via phone number 9288557880 and fax number 9288557881. The mailing address for Brett Qualls is 191 Swanson Ave, Lake Havasu City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brett Qualls |
|---|---|
| Address | 191 Swanson Ave, Lake Havasu City, Arizona |
| Phone Number | 9288557880 |
| Fax Number | 9288557881 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1215105630 |
|---|---|
| Provider Enumeration Date | 2008-02-19 |
| Last Updated Date | 2017-03-25 |
Provider Mailing Address Detail
| Address | 191 Swanson Ave |
|---|---|
| City | Lake Havasu City |
| State | Arizona (AZ) |
| Post Code | 864036699 |
| Phone Number | 9288557880 |
| Fax Number | 9288557881 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 34485 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34485 | CA | CA LICENSE | |
| 9575 | AZ | ARIZONA LICENSE | |
| 2594 | NV | NV LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Brett Qualls by the Centers for Medicare & Medicaid Services?
The Brett Qualls has been assigned the NPI (National Provider Identifier) 1215105630. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brett Qualls's facilities are geographically located?
The facilities of Brett Qualls are physically situated at the following location: 191 Swanson Ave, Lake Havasu City, AZ, 864036699.
What is the Brett Qualls's specialty and taxonomy code?
The Brett Qualls's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215105630 to Brett Qualls?
The Brett Qualls received its 1215105630 assignment from the Centers for Medicare & Medicaid Services on 2008-02-19.
As of what date was the information pertaining to Brett Qualls, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brett Qualls, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-25.