Tracey Michelle Cannon in Frederick - Physical Therapist
Tracey Michelle Cannon - NPI 1710904602
Tracey Michelle Cannon is a Physical Therapist in Frederick, Maryland. Tracey Michelle Cannon practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Tracey Michelle Cannon is 1710904602. The last update date is 2008-07-10.
Tracey Michelle Cannon's current location address is 626 Trail Ave, Frederick, Maryland. You can contact this provider via phone number 3016621997. The mailing address for Tracey Michelle Cannon is 626 Trail Ave, Frederick, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Michelle Cannon |
|---|---|
| Address | 626 Trail Ave, Frederick, Maryland |
| Phone Number | 3016621997 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710904602 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 626 Trail Ave |
|---|---|
| City | Frederick |
| State | Maryland (MD) |
| Post Code | 217014934 |
| Phone Number | 3016621997 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 19215 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| KBC4HO-61628901 | MD | BC/BS | |
| S404-0008 | MD | CAREFIRST |
Post Comment/ Review Below
What is the unique identification code assigned to Tracey Michelle Cannon by the Centers for Medicare & Medicaid Services?
The Tracey Michelle Cannon has been issued the NPI (National Provider Identifier) 1710904602. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tracey Michelle Cannon?
The Tracey Michelle Cannon is situated at 626 Trail Ave, in the city of Frederick, state of MD, with the zip code 217014934.
What is Tracey Michelle Cannon's area of expertise and its corresponding taxonomy classification?
The Tracey Michelle Cannon'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 Tracey Michelle Cannon receive the assignment of its 1710904602 from the Centers for Medicare & Medicaid Services?
The Tracey Michelle Cannon was issued its 1710904602 by the Centers for Medicare & Medicaid Services on 2006-07-16.
As of what date was the information pertaining to Tracey Michelle Cannon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tracey Michelle Cannon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-10.