Mary Jo Anne Wagner in Waterloo - Physical Therapist
Mary Jo Anne Wagner - NPI 1750599841
Mary Jo Anne Wagner is a Physical Therapist in Waterloo, Illinois. Mary Jo Anne Wagner practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mary Jo Anne Wagner is 1750599841. The last update date is 2007-07-08.
Mary Jo Anne Wagner's current location address is 1518 State Route 156, Waterloo, Illinois. You can contact this provider via phone number 6189352323. The mailing address for Mary Jo Anne Wagner is 1518 State Route 156, Waterloo, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Anne Wagner |
|---|---|
| Address | 1518 State Route 156, Waterloo, Illinois |
| Phone Number | 6189352323 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MARY JO W |
NPI Number Detail
| NPI Number | 1750599841 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1518 State Route 156 |
|---|---|
| City | Waterloo |
| State | Illinois (IL) |
| Post Code | 622986104 |
| Phone Number | 6189352323 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 1942 |
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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 10-digit identifier code assigned to Mary Jo Anne Wagner by the Centers for Medicare & Medicaid Services?
The Mary Jo Anne Wagner has been issued the NPI (National Provider Identifier) 1750599841 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Mary Jo Anne Wagner's physical address?
The Mary Jo Anne Wagner is physically located at 1518 State Route 156, in the city of Waterloo, IL, with the postal code 622986104.
What is Mary Jo Anne Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Jo Anne Wagner's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
When did Mary Jo Anne Wagner receive its 1750599841 assignment?
The Mary Jo Anne Wagner was assigned its 1750599841 on 2007-05-20, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Mary Jo Anne Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mary Jo Anne Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.