Providence Therapy Services Llc in Davenport - Physical Therapist

Providence Therapy Services Llc - NPI 1669532388

Providence Therapy Services Llc is a Physical Therapist in Davenport, Iowa. Providence Therapy Services Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Providence Therapy Services Llc is 1669532388. The last update date is 2020-08-22.

Providence Therapy Services Llc's current location address is 21037 Holden Drive, Davenport, Iowa. You can contact this provider via phone number 5633594054 and fax number 5633594084. The mailing address for Providence Therapy Services Llc is 21037 Holden Drive, Davenport, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Organization Providence Therapy Services Llc
Address 21037 Holden Drive, Davenport, Iowa
Phone Number 5633594054
Fax Number 5633594084
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Gillund R Marlene
Telephone Number 5633594054

NPI Number Detail

NPI Number 1669532388
Provider Enumeration Date 2006-12-11
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 21037 Holden Drive
City Davenport
State Iowa (IA)
Post Code 52804
Phone Number 5633594054
Fax Number 5633594084

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
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
474460 IA --

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FAQs about Providence Therapy Services Llc

What is the unique 10-digit identifier code issued to Providence Therapy Services Llc by the Centers for Medicare & Medicaid Services?

The Providence Therapy Services Llc has been assigned the NPI (National Provider Identifier) 1669532388 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Providence Therapy Services Llc located?

The Providence Therapy Services Llc is located at 21037 Holden Drive, Davenport, IA 52804.

What is Providence Therapy Services Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Providence Therapy Services Llc is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1669532388 to Providence Therapy Services Llc?

The Providence Therapy Services Llc received its 1669532388 assignment from the Centers for Medicare & Medicaid Services on 2006-12-11.

As of what date were the details pertaining to Providence Therapy Services Llc last refreshed?

The information related to the Providence Therapy Services Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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