Alan Jay Dettmer in Grand Rapids - Physical Therapist
Alan Jay Dettmer - NPI 1962479436
Alan Jay Dettmer is a Physical Therapist in Grand Rapids, Minnesota. Alan Jay Dettmer practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Alan Jay Dettmer is 1962479436. The last update date is 2014-02-14.
Alan Jay Dettmer's current location address is 102 Donovan Dr, Grand Rapids, Minnesota. You can contact this provider via phone number 2182592143. The mailing address for Alan Jay Dettmer is 102 Donovan Dr, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan Jay Dettmer |
|---|---|
| Address | 102 Donovan Dr, Grand Rapids, Minnesota |
| Phone Number | 2182592143 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1962479436 |
|---|---|
| Provider Enumeration Date | 2006-03-03 |
| Last Updated Date | 2014-02-14 |
Provider Mailing Address Detail
| Address | 102 Donovan Dr |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 55744 |
| Phone Number | 2182592143 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 7152 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Alan Jay Dettmer by the Centers for Medicare & Medicaid Services?
The Alan Jay Dettmer has been issued the NPI (National Provider Identifier) 1962479436, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Alan Jay Dettmer?
The Alan Jay Dettmer is physically situated at 102 Donovan Dr, in the city of Grand Rapids, state of MN, with the postal code 55744.
What is Alan Jay Dettmer's area of expertise and its corresponding taxonomy classification?
The Alan Jay Dettmer'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 Alan Jay Dettmer receive its 1962479436 assignment from the Centers for Medicare & Medicaid Services?
The Alan Jay Dettmer was assigned its 1962479436 on 2006-03-03, 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 related to Alan Jay Dettmer most recently updated or revised?
The information pertaining to Alan Jay Dettmer, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-14.