Jenniffer Gaite Etchison in Fort Wayne - Physical Therapist
Jenniffer Gaite Etchison - NPI 1215133715
Jenniffer Gaite Etchison is a Physical Therapist in Fort Wayne, Indiana. Jenniffer Gaite Etchison practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jenniffer Gaite Etchison is 1215133715. The last update date is 2021-11-12.
Jenniffer Gaite Etchison's current location address is 8905 Dunmore Ln, Fort Wayne, Indiana. You can contact this provider via phone number 2608047819. The mailing address for Jenniffer Gaite Etchison is 8905 Dunmore Ln, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenniffer Gaite Etchison |
|---|---|
| Address | 8905 Dunmore Ln, Fort Wayne, Indiana |
| Phone Number | 2608047819 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1215133715 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2021-11-12 |
Provider Mailing Address Detail
| Address | 8905 Dunmore Ln |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468043449 |
| Phone Number | 2608047819 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 05008583A |
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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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What is the Jenniffer Gaite Etchison's unique identification number?
The Jenniffer Gaite Etchison has been assigned the NPI (National Provider Identifier) Number 1215133715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jenniffer Gaite Etchison's physical address?
The Jenniffer Gaite Etchison is physically located at 8905 Dunmore Ln, in the city of Fort Wayne, IN, with the postal code 468043449.
What is Jenniffer Gaite Etchison's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jenniffer Gaite Etchison is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did Jenniffer Gaite Etchison receive its 1215133715 assignment from the Centers for Medicare & Medicaid Services?
The Jenniffer Gaite Etchison was assigned its 1215133715 on 2007-06-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jenniffer Gaite Etchison most recently updated?
The details pertaining to the Jenniffer Gaite Etchison, including its address, specialty, and other relevant information, were last refreshed on 2021-11-12.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN