Kaylin Jaie Mordock in Larkspur - Physical Therapist
Kaylin Jaie Mordock - NPI 1386626505
Kaylin Jaie Mordock is a Physical Therapist in Larkspur, California. Kaylin Jaie Mordock practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kaylin Jaie Mordock is 1386626505. The last update date is 2016-06-24.
Kaylin Jaie Mordock's current location address is 5 Bon Air Rd, Larkspur, California. You can contact this provider via phone number 4153361358. The mailing address for Kaylin Jaie Mordock is 5 Bon Air Rd, Larkspur, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kaylin Jaie Mordock |
|---|---|
| Address | 5 Bon Air Rd, Larkspur, California |
| Phone Number | 4153361358 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1386626505 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2016-06-24 |
Provider Mailing Address Detail
| Address | 5 Bon Air Rd |
|---|---|
| City | Larkspur |
| State | California (CA) |
| Post Code | 949391139 |
| Phone Number | 4153361358 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT24020 |
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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 assigned to Kaylin Jaie Mordock by the Centers for Medicare & Medicaid Services?
The Kaylin Jaie Mordock has been issued the NPI (National Provider Identifier) 1386626505, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kaylin Jaie Mordock?
The Kaylin Jaie Mordock is situated at 5 Bon Air Rd, in the city of Larkspur, state of CA, with the zip code 949391139.
What is Kaylin Jaie Mordock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kaylin Jaie Mordock's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date was the 1386626505 assigned to Kaylin Jaie Mordock?
The Kaylin Jaie Mordock was issued its 1386626505 on 2005-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kaylin Jaie Mordock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kaylin Jaie Mordock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-06-24.