Diane C Hendrickson in Stillwater - Physical Therapist

Diane C Hendrickson - NPI 1912016189

Diane C Hendrickson is a Physical Therapist in Stillwater, Minnesota. Diane C Hendrickson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Diane C Hendrickson is 1912016189. The last update date is 2007-07-08.

Diane C Hendrickson's current location address is 1460 Curve Crest Blvd W, Stillwater, Minnesota. You can contact this provider via phone number 6514398283 and fax number 6514390576. The mailing address for Diane C Hendrickson is 1460 Curve Crest Blvd W, Stillwater, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane C Hendrickson
Address 1460 Curve Crest Blvd W, Stillwater, Minnesota
Phone Number 6514398283
Fax Number 6514390576
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1912016189
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1460 Curve Crest Blvd W
City Stillwater
State Minnesota (MN)
Post Code 550826070
Phone Number 6514398283
Fax Number 6514390576

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 1197
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
912S9HE MN BCBS-MINNESOTA
HP47697 MN HEALTHPARTNERS
64-05177 MN MEDICA

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FAQs about Diane C Hendrickson

What is the unique 10-digit identification code assigned to Diane C Hendrickson by the Centers for Medicare & Medicaid Services?

The Diane C Hendrickson has been issued the NPI (National Provider Identifier) 1912016189, 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 Diane C Hendrickson?

The Diane C Hendrickson is physically situated at 1460 Curve Crest Blvd W, in the city of Stillwater, state of MN, with the postal code 550826070.

What is Diane C Hendrickson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Diane C Hendrickson's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.

On what date was the 1912016189 assigned to Diane C Hendrickson?

The Diane C Hendrickson was issued its 1912016189 on 2006-08-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Diane C Hendrickson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Diane C Hendrickson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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