Joseph Lee Ricketson in Lake Park - Physical Therapist
Joseph Lee Ricketson - NPI 1366610990
Joseph Lee Ricketson is a Physical Therapist in Lake Park, Georgia. Joseph Lee Ricketson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Joseph Lee Ricketson is 1366610990. The last update date is 2018-04-06.
Joseph Lee Ricketson's current location address is 5225 Paw Paw Ln, Lake Park, Georgia. You can contact this provider via phone number 2295635085 and fax number 2298903397. The mailing address for Joseph Lee Ricketson is 5225 Paw Paw Ln, Lake Park, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Lee Ricketson |
|---|---|
| Address | 5225 Paw Paw Ln, Lake Park, Georgia |
| Phone Number | 2295635085 |
| Fax Number | 2298903397 |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1366610990 |
|---|---|
| Provider Enumeration Date | 2008-02-18 |
| Last Updated Date | 2018-04-06 |
Provider Mailing Address Detail
| Address | 5225 Paw Paw Ln |
|---|---|
| City | Lake Park |
| State | Georgia (GA) |
| Post Code | 316363182 |
| Phone Number | 2295635085 |
| Fax Number | 2298903397 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT013328 |
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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 |
|---|---|---|---|
| PT013328 | GA | PT BOARD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Joseph Lee Ricketson by the Centers for Medicare & Medicaid Services?
The Joseph Lee Ricketson has been assigned the NPI (National Provider Identifier) 1366610990 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Joseph Lee Ricketson?
The Joseph Lee Ricketson is physically situated at 5225 Paw Paw Ln, in the city of Lake Park, state of GA, with the postal code 316363182.
What is Joseph Lee Ricketson'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 Joseph Lee Ricketson is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
When was the Joseph Lee Ricketson's 1366610990 issued?
The Joseph Lee Ricketson's 1366610990 was issued on 2008-02-18.
As of what date was the information regarding Joseph Lee Ricketson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joseph Lee Ricketson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-04-06.
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