Richard Warren Kruckeberg in Mattoon - Physical Therapist
Richard Warren Kruckeberg - NPI 1245362920
Richard Warren Kruckeberg is a Physical Therapist in Mattoon, Illinois. Richard Warren Kruckeberg practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Richard Warren Kruckeberg is 1245362920. The last update date is 2011-09-19.
Richard Warren Kruckeberg's current location address is 100 Professional Plz, Mattoon, Illinois. You can contact this provider via phone number 2173451245 and fax number 2173451253. The mailing address for Richard Warren Kruckeberg is 100 Professional Plz, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Warren Kruckeberg |
|---|---|
| Address | 100 Professional Plz, Mattoon, Illinois |
| Phone Number | 2173451245 |
| Fax Number | 2173451253 |
| Sole Proprietor | Y |
| Credentials | P.T., O.C. |
NPI Number Detail
| NPI Number | 1245362920 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2011-09-19 |
Provider Mailing Address Detail
| Address | 100 Professional Plz |
|---|---|
| City | Mattoon |
| State | Illinois (IL) |
| Post Code | 619389252 |
| Phone Number | 2173451245 |
| Fax Number | 2173451253 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 70.002766 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Richard Warren Kruckeberg by the Centers for Medicare & Medicaid Services (CMS)?
The Richard Warren Kruckeberg has been assigned the NPI (National Provider Identifier) 1245362920. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Richard Warren Kruckeberg is geographically located?
The Richard Warren Kruckeberg is physically situated at the following location: 100 Professional Plz, Mattoon, IL, 619389252.
What is Richard Warren Kruckeberg's area of expertise and its corresponding taxonomy classification?
The Richard Warren Kruckeberg'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 1245362920 to Richard Warren Kruckeberg?
The Richard Warren Kruckeberg received its 1245362920 assignment from the Centers for Medicare & Medicaid Services on 2007-03-09.
When was the information regarding Richard Warren Kruckeberg most recently updated?
The details pertaining to the Richard Warren Kruckeberg, including its address, specialty, and other relevant information, were last refreshed on 2011-09-19.
NPI Number: 1023014131
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