Creek Side Orthopedic in San Luis Obispo - Physical Therapist

Creek Side Orthopedic - NPI 1295718831

Creek Side Orthopedic is a Physical Therapist in San Luis Obispo, California. Creek Side Orthopedic practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Creek Side Orthopedic is 1295718831. The last update date is 2015-03-26.

Creek Side Orthopedic's current location address is 1545 Higuera St, San Luis Obispo, California. You can contact this provider via phone number 8055435633 and fax number 8055435990. The mailing address for Creek Side Orthopedic is 1545 Higuera St, San Luis Obispo, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Creek Side Orthopedic
Address 1545 Higuera St, San Luis Obispo, California
Phone Number 8055435633
Fax Number 8055435990
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Olson R. Donald
Credentials R.P.T.
Telephone Number 8055435633

NPI Number Detail

NPI Number 1295718831
Provider Enumeration Date 2005-11-29
Last Updated Date 2015-03-26

Provider Mailing Address Detail

Address 1545 Higuera St
City San Luis Obispo
State California (CA)
Post Code 934012917
Phone Number 8055435633
Fax Number 8055435990

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 1813761
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
ZZZ40093Z CA BLUE SHIELD PIN

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FAQs about Creek Side Orthopedic

What is the unique 10-digit identification code issued to Creek Side Orthopedic by the Centers for Medicare & Medicaid Services?

The Creek Side Orthopedic has been assigned the NPI (National Provider Identifier) 1295718831 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Creek Side Orthopedic is physically located?

The Creek Side Orthopedic is situated at the following address: 1545 Higuera St, San Luis Obispo, CA 934012917.

What is Creek Side Orthopedic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Creek Side Orthopedic's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.

When did the Creek Side Orthopedic receive its 1295718831?

The Creek Side Orthopedic was issued its 1295718831 on 2005-11-29, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Creek Side Orthopedic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Creek Side Orthopedic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-26.

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