Susanville Therapy Athletic Rehabilitation in Susanville - Physical Therapist

Susanville Therapy Athletic Rehabilitation - NPI 1609087287

Susanville Therapy Athletic Rehabilitation is a Physical Therapist in Susanville, California. Susanville Therapy Athletic Rehabilitation practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Susanville Therapy Athletic Rehabilitation is 1609087287. The last update date is 2020-08-22.

Susanville Therapy Athletic Rehabilitation's current location address is 711 Main St, Susanville, California. You can contact this provider via phone number 5302578989 and fax number 5302574649. The mailing address for Susanville Therapy Athletic Rehabilitation is 711 Main St, Susanville, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Susanville Therapy Athletic Rehabilitation
Address 711 Main St, Susanville, California
Phone Number 5302578989
Fax Number 5302574649
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICAL T
Authorized Official Name Hubbard C Norman
Credentials RPT
Telephone Number 5302578989

NPI Number Detail

NPI Number 1609087287
Provider Enumeration Date 2007-05-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 711 Main St
City Susanville
State California (CA)
Post Code 961304329
Phone Number 5302578989
Fax Number 5302574649

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT12628
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
ZZZ41322Z CA BLUE SHIELD
00PT126280 CA BLUE CROSS

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FAQs about Susanville Therapy Athletic Rehabilitation

What is the unique identifier code issued to Susanville Therapy Athletic Rehabilitation by the Centers for Medicare & Medicaid Services (CMS)?

The Susanville Therapy Athletic Rehabilitation has been assigned the NPI (National Provider Identifier) 1609087287. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Susanville Therapy Athletic Rehabilitation's facilities are geographically located?

The facilities of Susanville Therapy Athletic Rehabilitation are physically situated at the following location: 711 Main St, Susanville, CA, 961304329.

What is the Susanville Therapy Athletic Rehabilitation's specialty and taxonomy code?

The Susanville Therapy Athletic Rehabilitation's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date was the 1609087287 assigned to Susanville Therapy Athletic Rehabilitation?

The Susanville Therapy Athletic Rehabilitation was issued its 1609087287 on 2007-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Susanville Therapy Athletic Rehabilitation last refreshed?

The information related to the Susanville Therapy Athletic Rehabilitation, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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