Kelly Jean Nowacki in Wayzata - Physical Therapist

Kelly Jean Nowacki - NPI 1265451090

Kelly Jean Nowacki is a Physical Therapist in Wayzata, Minnesota. Kelly Jean Nowacki practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly Jean Nowacki is 1265451090. The last update date is 2007-07-08.

Kelly Jean Nowacki's current location address is 600 Twelve Oaks Center Dr, Wayzata, Minnesota. You can contact this provider via phone number 9524760224 and fax number 9524760218. The mailing address for Kelly Jean Nowacki is 600 Twelve Oaks Center Dr, Wayzata, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Jean Nowacki
Address 600 Twelve Oaks Center Dr, Wayzata, Minnesota
Phone Number 9524760224
Fax Number 9524760218
Sole Proprietor N
Credentials P.T.

NPI Number Detail

NPI Number 1265451090
Provider Enumeration Date 2006-07-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 600 Twelve Oaks Center Dr
City Wayzata
State Minnesota (MN)
Post Code 553914501
Phone Number 9524760224
Fax Number 9524760218

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 7213
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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FAQs about Kelly Jean Nowacki

What is the unique provider identifier assigned to Kelly Jean Nowacki?

The Kelly Jean Nowacki has been issued the NPI (National Provider Identifier) 1265451090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Kelly Jean Nowacki is located?

The Kelly Jean Nowacki is situated at the following address: 600 Twelve Oaks Center Dr, Wayzata, MN, 553914501.

What is Kelly Jean Nowacki's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kelly Jean Nowacki's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.

On what date did Kelly Jean Nowacki receive its 1265451090 assignment from the Centers for Medicare & Medicaid Services?

The Kelly Jean Nowacki was assigned its 1265451090 on 2006-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kelly Jean Nowacki last refreshed?

The information related to the Kelly Jean Nowacki, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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