Stacey M Gorman in Sauk Rapids - Physical Therapist

Stacey M Gorman - NPI 1982743688

Stacey M Gorman is a Physical Therapist in Sauk Rapids, Minnesota. Stacey M Gorman practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stacey M Gorman is 1982743688. The last update date is 2007-07-08.

Stacey M Gorman's current location address is 225 N Benton Dr, Sauk Rapids, Minnesota. You can contact this provider via phone number 3202522225 and fax number 3202522159. The mailing address for Stacey M Gorman is 225 N Benton Dr, Sauk Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey M Gorman
Address 225 N Benton Dr, Sauk Rapids, Minnesota
Phone Number 3202522225
Fax Number 3202522159
Sole Proprietor N
Credentials P.T.

NPI Number Detail

NPI Number 1982743688
Provider Enumeration Date 2007-02-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 225 N Benton Dr
City Sauk Rapids
State Minnesota (MN)
Post Code 563791575
Phone Number 3202522225
Fax Number 3202522159

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 7051
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
510L2GO MN BLUE CROSS & BLUE SHIELD

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FAQs about Stacey M Gorman

What is the unique 10-digit identifier code issued to Stacey M Gorman by the Centers for Medicare & Medicaid Services?

The Stacey M Gorman has been assigned the NPI (National Provider Identifier) 1982743688 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Stacey M Gorman's physical address?

The Stacey M Gorman is physically located at 225 N Benton Dr, in the city of Sauk Rapids, MN, with the postal code 563791575.

What is Stacey M Gorman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stacey M Gorman's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.

On what date did Stacey M Gorman receive its 1982743688 assignment from the Centers for Medicare & Medicaid Services?

The Stacey M Gorman was assigned its 1982743688 on 2007-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Stacey M Gorman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Stacey M Gorman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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