Lake Dow Physical Therapy, Inc. in Mcdonough - Physical Therapist
Lake Dow Physical Therapy, Inc. - NPI 1164690780
Lake Dow Physical Therapy, Inc. is a Physical Therapist in Mcdonough, Georgia. Lake Dow Physical Therapy, Inc. practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Lake Dow Physical Therapy, Inc. is 1164690780. The last update date is 2008-06-17.
Lake Dow Physical Therapy, Inc.'s current location address is 42 Old Jackson Rd, Mcdonough, Georgia. You can contact this provider via phone number 6785836345 and fax number 6785836346. The mailing address for Lake Dow Physical Therapy, Inc. is 42 Old Jackson Rd, Mcdonough, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Dow Physical Therapy, Inc. |
|---|---|
| Address | 42 Old Jackson Rd, Mcdonough, Georgia |
| Phone Number | 6785836345 |
| Fax Number | 6785836346 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jedding M Kimberley |
| Credentials | DPT, CEAS |
| Telephone Number | 6785836345 |
NPI Number Detail
| NPI Number | 1164690780 |
|---|---|
| Provider Enumeration Date | 2008-02-16 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 42 Old Jackson Rd |
|---|---|
| City | Mcdonough |
| State | Georgia (GA) |
| Post Code | 302523029 |
| Phone Number | 6785836345 |
| Fax Number | 6785836346 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT006775 |
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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 |
|---|---|---|---|
| PT006775 | GA | PT LISCENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Lake Dow Physical Therapy, Inc. by the Centers for Medicare & Medicaid Services?
The Lake Dow Physical Therapy, Inc. has been issued the NPI (National Provider Identifier) 1164690780. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lake Dow Physical Therapy, Inc. is physically located?
The Lake Dow Physical Therapy, Inc. is situated at the following address: 42 Old Jackson Rd, Mcdonough, GA 302523029.
What is the Lake Dow Physical Therapy, Inc.'s specialty and taxonomy code?
The Lake Dow Physical Therapy, Inc.'s specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Lake Dow Physical Therapy, Inc. receive the assignment of its 1164690780 from the Centers for Medicare & Medicaid Services?
The Lake Dow Physical Therapy, Inc. was issued its 1164690780 by the Centers for Medicare & Medicaid Services on 2008-02-16.
As of what date was the information regarding Lake Dow Physical Therapy, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lake Dow Physical Therapy, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-17.
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