Jerry L. Heselton in Champaign - Physical Therapist

Jerry L. Heselton - NPI 1356357800

Jerry L. Heselton is a Physical Therapist in Champaign, Illinois. Jerry L. Heselton practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jerry L. Heselton is 1356357800. The last update date is 2008-06-17.

Jerry L. Heselton's current location address is 101 W University Ave, Champaign, Illinois. You can contact this provider via phone number 2173661323. The mailing address for Jerry L. Heselton is 101 W University Ave, Champaign, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry L. Heselton
Address 101 W University Ave, Champaign, Illinois
Phone Number 2173661323
Fax Number
Sole Proprietor N
Credentials P.T.

NPI Number Detail

NPI Number 1356357800
Provider Enumeration Date 2006-08-01
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 101 W University Ave
City Champaign
State Illinois (IL)
Post Code 618203909
Phone Number 2173661323
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 70012161
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
205364 MEDICARE GROUP
P00002221 RAILROAD MEDICARE

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FAQs about Jerry L. Heselton

What is the unique 10-digit identifier code assigned to Jerry L. Heselton by the Centers for Medicare & Medicaid Services?

The Jerry L. Heselton has been issued the NPI (National Provider Identifier) 1356357800 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Jerry L. Heselton?

The Jerry L. Heselton is situated at 101 W University Ave, in the city of Champaign, state of IL, with the zip code 618203909.

What is Jerry L. Heselton's area of expertise and its corresponding taxonomy classification?

The Jerry L. Heselton's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1356357800 to Jerry L. Heselton?

The Jerry L. Heselton received its 1356357800 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.

As of what date were the Jerry L. Heselton's details last updated?

The information pertaining to the Jerry L. Heselton, including its address, specialty, and other details, was most recently updated on 2008-06-17.

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