Mary Kathryn Wing in Phoenix - Physical Therapist
Mary Kathryn Wing - NPI 1205912490
Mary Kathryn Wing is a Physical Therapist in Phoenix, Arizona. Mary Kathryn Wing practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mary Kathryn Wing is 1205912490. The last update date is 2008-02-01.
Mary Kathryn Wing's current location address is 1020 E Missouri Ave, Phoenix, Arizona. You can contact this provider via phone number 6023930520 and fax number 6023930523. The mailing address for Mary Kathryn Wing is 1020 E Missouri Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kathryn Wing |
|---|---|
| Address | 1020 E Missouri Ave, Phoenix, Arizona |
| Phone Number | 6023930520 |
| Fax Number | 6023930523 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1205912490 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2008-02-01 |
Provider Mailing Address Detail
| Address | 1020 E Missouri Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850142615 |
| Phone Number | 6023930520 |
| Fax Number | 6023930523 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 478 |
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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 |
|---|---|---|---|
| 823684 | AZ | -- | |
| 461760 | AZ | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Kathryn Wing by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Kathryn Wing has been assigned the NPI (National Provider Identifier) 1205912490. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mary Kathryn Wing?
The Mary Kathryn Wing is situated at 1020 E Missouri Ave, in the city of Phoenix, state of AZ, with the zip code 850142615.
What is the Mary Kathryn Wing's specialty and taxonomy code?
The Mary Kathryn Wing's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205912490 to Mary Kathryn Wing?
The Centers for Medicare & Medicaid Services originally issued the 1205912490 to Mary Kathryn Wing on 2006-10-31.
When was the information related to Mary Kathryn Wing most recently updated or refreshed?
The details pertaining to the Mary Kathryn Wing, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-01.