Jackson Preferred Rehab Llc in Homer - Physical Therapist
Jackson Preferred Rehab Llc - NPI 1720265739
Jackson Preferred Rehab Llc is a Physical Therapist in Homer, Michigan. Jackson Preferred Rehab Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jackson Preferred Rehab Llc is 1720265739. The last update date is 2009-02-02.
Jackson Preferred Rehab Llc's current location address is 119 W Main St, Homer, Michigan. You can contact this provider via phone number 8665683100 and fax number 5175683133. The mailing address for Jackson Preferred Rehab Llc is 119 W Main St, Homer, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Preferred Rehab Llc |
|---|---|
| Address | 119 W Main St, Homer, Michigan |
| Phone Number | 8665683100 |
| Fax Number | 5175683133 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kunchappa Karthyayani |
| Credentials | PT |
| Telephone Number | 8665683100 |
NPI Number Detail
| NPI Number | 1720265739 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2009-02-02 |
Provider Mailing Address Detail
| Address | 119 W Main St |
|---|---|
| City | Homer |
| State | Michigan (MI) |
| Post Code | 492451023 |
| Phone Number | 8665683100 |
| Fax Number | 5175683133 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | KK007396 |
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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 |
|---|---|---|---|
| 650C807050 | MI | BLUE CROSS | |
| KK007396 | MI | LIC NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jackson Preferred Rehab Llc by the Centers for Medicare & Medicaid Services?
The Jackson Preferred Rehab Llc has been issued the NPI (National Provider Identifier) 1720265739 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jackson Preferred Rehab Llc's facilities are geographically located?
The facilities of Jackson Preferred Rehab Llc are physically situated at the following location: 119 W Main St, Homer, MI, 492451023.
What is Jackson Preferred Rehab 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 Jackson Preferred Rehab Llc is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did the Jackson Preferred Rehab Llc receive its 1720265739 assignment from the Centers for Medicare & Medicaid Services?
The Jackson Preferred Rehab Llc was assigned its 1720265739 by the Centers for Medicare & Medicaid Services on 2008-01-22.
As of what date were the Jackson Preferred Rehab Llc's details last updated?
The information pertaining to the Jackson Preferred Rehab Llc, including its address, specialty, and other details, was most recently updated on 2009-02-02.
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