Granite Bay Physical Therapy in Granite Bay - Physical Therapist
Granite Bay Physical Therapy - NPI 1306904594
Granite Bay Physical Therapy is a Physical Therapist in Granite Bay, California. Granite Bay Physical Therapy practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Granite Bay Physical Therapy is 1306904594. The last update date is 2020-08-22.
Granite Bay Physical Therapy's current location address is 6910 Douglas Blvd, Granite Bay, California. You can contact this provider via phone number 9167915011 and fax number 9167913211. The mailing address for Granite Bay Physical Therapy is 6910 Douglas Blvd, Granite Bay, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granite Bay Physical Therapy |
|---|---|
| Address | 6910 Douglas Blvd, Granite Bay, California |
| Phone Number | 9167915011 |
| Fax Number | 9167913211 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Headrick Christopher |
| Credentials | DPT |
| Telephone Number | 9167915011 |
NPI Number Detail
| NPI Number | 1306904594 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6910 Douglas Blvd |
|---|---|
| City | Granite Bay |
| State | California (CA) |
| Post Code | 957466276 |
| Phone Number | 9167915011 |
| Fax Number | 9167913211 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT27707 |
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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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What is the unique 10-digit identification code issued to Granite Bay Physical Therapy by the Centers for Medicare & Medicaid Services?
The Granite Bay Physical Therapy has been assigned the NPI (National Provider Identifier) 1306904594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Granite Bay Physical Therapy is physically located?
The Granite Bay Physical Therapy is physically situated at the following address: 6910 Douglas Blvd, Granite Bay, CA, 957466276.
What is the Granite Bay Physical Therapy's area of specialization and corresponding taxonomy classification?
The Granite Bay Physical Therapy's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306904594 to Granite Bay Physical Therapy?
The Centers for Medicare & Medicaid Services originally issued the 1306904594 to Granite Bay Physical Therapy on 2006-12-04.
When was the information regarding Granite Bay Physical Therapy most recently updated?
The details pertaining to the Granite Bay Physical Therapy, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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