Joel Andrew Vander Wall in Grand Rapids - Physical Therapist
Joel Andrew Vander Wall - NPI 1386849875
Joel Andrew Vander Wall is a Physical Therapist in Grand Rapids, Michigan. Joel Andrew Vander Wall practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Joel Andrew Vander Wall is 1386849875. The last update date is 2007-07-08.
Joel Andrew Vander Wall's current location address is 3863 Lake Michigan Dr Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6167354545 and fax number 6167356344. The mailing address for Joel Andrew Vander Wall is 3863 Lake Michigan Dr Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joel Andrew Vander Wall |
|---|---|
| Address | 3863 Lake Michigan Dr Nw, Grand Rapids, Michigan |
| Phone Number | 6167354545 |
| Fax Number | 6167356344 |
| Sole Proprietor | N |
| Credentials | MSPT |
NPI Number Detail
| NPI Number | 1386849875 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3863 Lake Michigan Dr Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 49534 |
| Phone Number | 6167354545 |
| Fax Number | 6167356344 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5501010049 |
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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 unique identification code assigned to Joel Andrew Vander Wall by the Centers for Medicare & Medicaid Services?
The Joel Andrew Vander Wall has been issued the NPI (National Provider Identifier) 1386849875. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Joel Andrew Vander Wall located?
The Joel Andrew Vander Wall is located at 3863 Lake Michigan Dr Nw, Grand Rapids, MI 49534.
What is Joel Andrew Vander Wall'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 Joel Andrew Vander Wall 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 1386849875 to Joel Andrew Vander Wall?
The Joel Andrew Vander Wall received its 1386849875 assignment from the Centers for Medicare & Medicaid Services on 2007-06-15.
As of what date were the details related to Joel Andrew Vander Wall most recently updated or revised?
The information pertaining to Joel Andrew Vander Wall, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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