Jesse Lee Wied in Monroe - Physical Therapist

Jesse Lee Wied - NPI 1194712687

Jesse Lee Wied is a Physical Therapist in Monroe, Louisiana. Jesse Lee Wied practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jesse Lee Wied is 1194712687. The last update date is 2007-10-25.

Jesse Lee Wied's current location address is 1815 Roselawn Ave, Monroe, Louisiana. You can contact this provider via phone number 3183227050 and fax number 3183227031. The mailing address for Jesse Lee Wied is 1815 Roselawn Ave, Monroe, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jesse Lee Wied
Address 1815 Roselawn Ave, Monroe, Louisiana
Phone Number 3183227050
Fax Number 3183227031
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1194712687
Provider Enumeration Date 2005-09-30
Last Updated Date 2007-10-25

Provider Mailing Address Detail

Address 1815 Roselawn Ave
City Monroe
State Louisiana (LA)
Post Code 712015433
Phone Number 3183227050
Fax Number 3183227031

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 02241R
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
1551813 LA --

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FAQs about Jesse Lee Wied

What is the unique 10-digit identification code issued to Jesse Lee Wied by the Centers for Medicare & Medicaid Services?

The Jesse Lee Wied has been assigned the NPI (National Provider Identifier) 1194712687 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Jesse Lee Wied's facilities are situated?

The facilities of Jesse Lee Wied are physically located at the following address: 1815 Roselawn Ave, Monroe, LA, 712015433.

What is the Jesse Lee Wied's specialty and taxonomy code?

The Jesse Lee Wied's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

When did the Jesse Lee Wied receive its 1194712687?

The Jesse Lee Wied was issued its 1194712687 on 2005-09-30, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Jesse Lee Wied most recently updated or revised?

The information pertaining to Jesse Lee Wied, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-25.

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