Excel Physical Therapy & Sports Medicine Clinic in Boonville - Physical Therapist
Excel Physical Therapy & Sports Medicine Clinic - NPI 1609930593
Excel Physical Therapy & Sports Medicine Clinic is a Physical Therapist in Boonville, Missouri. Excel Physical Therapy & Sports Medicine Clinic practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Excel Physical Therapy & Sports Medicine Clinic is 1609930593. The last update date is 2007-10-16.
Excel Physical Therapy & Sports Medicine Clinic's current location address is 1420 W Ashley Rd, Boonville, Missouri. You can contact this provider via phone number 6608826115 and fax number 6608826120. The mailing address for Excel Physical Therapy & Sports Medicine Clinic is 1420 W Ashley Rd, Boonville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Excel Physical Therapy & Sports Medicine Clinic |
|---|---|
| Address | 1420 W Ashley Rd, Boonville, Missouri |
| Phone Number | 6608826115 |
| Fax Number | 6608826120 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mccormick S Jill |
| Credentials | P.T., A.T. |
| Telephone Number | 7738927501 |
NPI Number Detail
| NPI Number | 1609930593 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 1420 W Ashley Rd |
|---|---|
| City | Boonville |
| State | Missouri (MO) |
| Post Code | 652332112 |
| Phone Number | 6608826115 |
| Fax Number | 6608826120 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 108639 |
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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 |
|---|---|---|---|
| 122566 | BLUE CROSS BLUE SHEILD | ||
| DA1611 | MO | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Excel Physical Therapy & Sports Medicine Clinic?
The Excel Physical Therapy & Sports Medicine Clinic has been issued the NPI (National Provider Identifier) 1609930593 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Excel Physical Therapy & Sports Medicine Clinic's facilities are situated?
The facilities of Excel Physical Therapy & Sports Medicine Clinic are physically located at the following address: 1420 W Ashley Rd, Boonville, MO, 652332112.
What is Excel Physical Therapy & Sports Medicine Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Excel Physical Therapy & Sports Medicine Clinic is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Excel Physical Therapy & Sports Medicine Clinic receive the assignment of its 1609930593 from the Centers for Medicare & Medicaid Services?
The Excel Physical Therapy & Sports Medicine Clinic was issued its 1609930593 by the Centers for Medicare & Medicaid Services on 2006-12-21.
When was the information pertaining to Excel Physical Therapy & Sports Medicine Clinic most recently updated or revised?
The details related to Excel Physical Therapy & Sports Medicine Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-16.
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