Connie Ellis Phillips in Mankato - Physical Therapist
Connie Ellis Phillips - NPI 1124086525
Connie Ellis Phillips is a Physical Therapist in Mankato, Minnesota. Connie Ellis Phillips practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Connie Ellis Phillips is 1124086525. The last update date is 2011-07-22.
Connie Ellis Phillips's current location address is 1431 Premier Dr, Mankato, Minnesota. You can contact this provider via phone number 5073866670 and fax number 5073888372. The mailing address for Connie Ellis Phillips is 1431 Premier Dr, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Ellis Phillips |
|---|---|
| Address | 1431 Premier Dr, Mankato, Minnesota |
| Phone Number | 5073866670 |
| Fax Number | 5073888372 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1124086525 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2011-07-22 |
Provider Mailing Address Detail
| Address | 1431 Premier Dr |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560016076 |
| Phone Number | 5073866670 |
| Fax Number | 5073888372 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5346 |
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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 |
|---|---|---|---|
| 103183C572 | MN | UCARE MN | |
| 448T1PH | MN | BCBS OF MN | |
| HP42303 | MN | HEALTH PARTNERS | |
| 983181027668 | MN | PREFERRED ONE | |
| 6404803 | MN | MEDICA | |
| H033 | MN | TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Connie Ellis Phillips by the Centers for Medicare & Medicaid Services?
The Connie Ellis Phillips has been assigned the NPI (National Provider Identifier) 1124086525. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Connie Ellis Phillips is located?
The Connie Ellis Phillips is situated at the following address: 1431 Premier Dr, Mankato, MN, 560016076.
What is the area of specialization for Connie Ellis Phillips, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Connie Ellis Phillips is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Connie Ellis Phillips receive its 1124086525 assignment from the Centers for Medicare & Medicaid Services?
The Connie Ellis Phillips was assigned its 1124086525 by the Centers for Medicare & Medicaid Services on 2006-05-03.
As of what date were the details pertaining to Connie Ellis Phillips last refreshed?
The information related to the Connie Ellis Phillips, including its address, specialty, and other relevant details, was last updated on 2011-07-22.
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