Deanna Long is a Physical Therapist in Athens, Georgia. Deanna Long practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Deanna Long is 1174681571. The last update date is 2022-06-08.
Deanna Long's current location address is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. You can contact this provider via phone number 7065491663 and fax number 7065468792. The mailing address for Deanna Long is 1765 Old West Broad St Bldg 2-200, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deanna Long |
|---|---|
| Address | 1765 Old West Broad St Bldg 2-200, Athens, Georgia |
| Phone Number | 7065491663 |
| Fax Number | 7065468792 |
| Sole Proprietor | N |
| Credentials | PT, MPT |
NPI Number Detail
| NPI Number | 1174681571 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2022-06-08 |
Provider Mailing Address Detail
| Address | 1765 Old West Broad St Bldg 2-200 |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306062887 |
| Phone Number | 7065491663 |
| Fax Number | 7065468792 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT008259 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11931235 | CAQH NUMBER |
Post Comment/ Review Below
What is the Deanna Long's unique identification number?
The Deanna Long has been assigned the NPI (National Provider Identifier) Number 1174681571 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Deanna Long?
The Deanna Long is situated at 1765 Old West Broad St Bldg 2-200, in the city of Athens, state of GA, with the zip code 306062887.
What is Deanna Long's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Deanna Long is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174681571 to Deanna Long?
The Deanna Long received its 1174681571 assignment from the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date were the details pertaining to Deanna Long last refreshed?
The information related to the Deanna Long, including its address, specialty, and other relevant details, was last updated on 2022-06-08.
NPI Number: 1063415297
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