Kenny A De Luca in Maumelle - Physical Therapist
Kenny A De Luca - NPI 1114901451
Kenny A De Luca is a Physical Therapist in Maumelle, Arkansas. Kenny A De Luca practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kenny A De Luca is 1114901451. The last update date is 2011-05-10.
Kenny A De Luca's current location address is Po Box 13567, Maumelle, Arkansas. You can contact this provider via phone number 5017532201 and fax number 5017532207. The mailing address for Kenny A De Luca is Po Box 13567, Maumelle, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenny A De Luca |
|---|---|
| Address | Po Box 13567, Maumelle, Arkansas |
| Phone Number | 5017532201 |
| Fax Number | 5017532207 |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1114901451 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2011-05-10 |
Provider Mailing Address Detail
| Address | Po Box 13567 |
|---|---|
| City | Maumelle |
| State | Arkansas (AR) |
| Post Code | 721130567 |
| Phone Number | 5017532201 |
| Fax Number | 5017532207 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT2475 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5F332 | AR | AR BCBS GROUP | |
| 5W795 | AR | AR BCBS INDIVIDUAL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenny A De Luca by the Centers for Medicare & Medicaid Services?
The Kenny A De Luca has been issued the NPI (National Provider Identifier) 1114901451, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenny A De Luca located?
The Kenny A De Luca is located at Po Box 13567, Maumelle, AR 721130567.
What is Kenny A De Luca's area of expertise and its corresponding taxonomy classification?
The Kenny A De Luca's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
When did the Kenny A De Luca receive its 1114901451?
The Kenny A De Luca was issued its 1114901451 on 2005-11-30, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kenny A De Luca most recently updated or revised?
The details related to Kenny A De Luca, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-10.