Moon River, Llc in Marietta - Physical Therapist
Moon River, Llc - NPI 1730143553
Moon River, Llc is a Physical Therapist in Marietta, Georgia. Moon River, Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Moon River, Llc is 1730143553. The last update date is 2017-02-15.
Moon River, Llc's current location address is 790 Oak Trail Dr, Marietta, Georgia. You can contact this provider via phone number 7709776866 and fax number 7709776887. The mailing address for Moon River, Llc is 790 Oak Trail Dr, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moon River, Llc |
|---|---|
| Address | 790 Oak Trail Dr, Marietta, Georgia |
| Phone Number | 7709776866 |
| Fax Number | 7709776887 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE ADM |
|---|---|
| Authorized Official Name | Smith Teresa Maria |
| Telephone Number | 7709776866 |
NPI Number Detail
| NPI Number | 1730143553 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2017-02-15 |
Provider Mailing Address Detail
| Address | 790 Oak Trail Dr |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300627502 |
| Phone Number | 7709776866 |
| Fax Number | 7709776887 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT008523 |
|
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 |
|---|---|---|---|
| 191707573A | GA | -- | |
| 240960806A | GA | -- | |
| 516643175A | GA | -- | |
| 761415888A | GA | -- | |
| 814363142A | GA | -- | |
| 000860736B | GA | -- | |
| 146855825A | GA | -- | |
| 765677599A | GA | -- | |
| 188883028B | GA | -- | |
| 317872221A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Moon River, Llc by the Centers for Medicare & Medicaid Services?
The Moon River, Llc has been assigned the NPI (National Provider Identifier) 1730143553 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Moon River, Llc is physically located?
The Moon River, Llc is situated at the following address: 790 Oak Trail Dr, Marietta, GA 300627502.
What is Moon River, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Moon River, Llc is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date was the 1730143553 assigned to Moon River, Llc?
The Moon River, Llc was issued its 1730143553 on 2006-04-17, 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 related to Moon River, Llc most recently updated or revised?
The information pertaining to Moon River, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2017-02-15.