Jackson'S Preferred Rehab in Grass Lake - Physical Therapist
Jackson'S Preferred Rehab - NPI 1609998954
Jackson'S Preferred Rehab is a Physical Therapist in Grass Lake, Michigan. Jackson'S Preferred Rehab practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jackson'S Preferred Rehab is 1609998954. The last update date is 2012-05-21.
Jackson'S Preferred Rehab's current location address is 110 E Michigan Ave, Grass Lake, Michigan. You can contact this provider via phone number 5177453161. The mailing address for Jackson'S Preferred Rehab is 110 E Michigan Ave, Grass Lake, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jackson'S Preferred Rehab |
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Address | 110 E Michigan Ave, Grass Lake, Michigan |
Phone Number | 5177453161 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PT |
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Authorized Official Name | Kunchappa Karthyayani |
Credentials | PT |
Telephone Number | 5177453161 |
NPI Number Detail
NPI Number | 1609998954 |
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Provider Enumeration Date | 2007-04-06 |
Last Updated Date | 2012-05-21 |
Provider Mailing Address Detail
Address | 110 E Michigan Ave |
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City | Grass Lake |
State | Michigan (MI) |
Post Code | 492409680 |
Phone Number | 5177453161 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | 5501007396 |
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 |
---|---|---|---|
65C807050 | MI | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Jackson'S Preferred Rehab by the Centers for Medicare & Medicaid Services (CMS)?
The Jackson'S Preferred Rehab has been assigned the NPI (National Provider Identifier) 1609998954. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jackson'S Preferred Rehab is geographically located?
The Jackson'S Preferred Rehab is physically situated at the following location: 110 E Michigan Ave, Grass Lake, MI, 492409680.
What is Jackson'S Preferred Rehab's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jackson'S Preferred Rehab's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609998954 to Jackson'S Preferred Rehab?
The Centers for Medicare & Medicaid Services assigned the 1609998954 to Jackson'S Preferred Rehab on 2007-04-06.
As of what date were the Jackson'S Preferred Rehab's details last updated?
The information pertaining to the Jackson'S Preferred Rehab, including its address, specialty, and other details, was most recently updated on 2012-05-21.