Kelly Gerrit Vredeveld in Prescott Valley - Physical Therapist
Kelly Gerrit Vredeveld - NPI 1588602874
Kelly Gerrit Vredeveld is a Physical Therapist in Prescott Valley, Arizona. Kelly Gerrit Vredeveld practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly Gerrit Vredeveld is 1588602874. The last update date is 2007-07-08.
Kelly Gerrit Vredeveld's current location address is 7636 E Nightingale Star Ln, Prescott Valley, Arizona. You can contact this provider via phone number 9287108486 and fax number 9287729340. The mailing address for Kelly Gerrit Vredeveld is 7636 E Nightingale Star Ln, Prescott Valley, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Gerrit Vredeveld |
|---|---|
| Address | 7636 E Nightingale Star Ln, Prescott Valley, Arizona |
| Phone Number | 9287108486 |
| Fax Number | 9287729340 |
| Sole Proprietor | X |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1588602874 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7636 E Nightingale Star Ln |
|---|---|
| City | Prescott Valley |
| State | Arizona (AZ) |
| Post Code | 863143049 |
| Phone Number | 9287108486 |
| Fax Number | 9287729340 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5810 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kelly Gerrit Vredeveld by the Centers for Medicare & Medicaid Services?
The Kelly Gerrit Vredeveld has been assigned the NPI (National Provider Identifier) 1588602874 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kelly Gerrit Vredeveld is physically located?
The Kelly Gerrit Vredeveld is physically situated at the following address: 7636 E Nightingale Star Ln, Prescott Valley, AZ, 863143049.
What is Kelly Gerrit Vredeveld's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Gerrit Vredeveld's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588602874 to Kelly Gerrit Vredeveld?
The Centers for Medicare & Medicaid Services originally issued the 1588602874 to Kelly Gerrit Vredeveld on 2006-06-02.
When was the Kelly Gerrit Vredeveld's information last updated?
The Kelly Gerrit Vredeveld's information was last updated on 2007-07-08.
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