Jonathan Douglas Wa Reagan in Lebanon - Physical Therapist
Jonathan Douglas Wa Reagan - NPI 1134217698
Jonathan Douglas Wa Reagan is a Physical Therapist in Lebanon, Missouri. Jonathan Douglas Wa Reagan practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jonathan Douglas Wa Reagan is 1134217698. The last update date is 2007-07-08.
Jonathan Douglas Wa Reagan's current location address is Po Box 1736, Lebanon, Missouri. You can contact this provider via phone number 4177180712. The mailing address for Jonathan Douglas Wa Reagan is Po Box 1736, Lebanon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Douglas Wa Reagan |
|---|---|
| Address | Po Box 1736, Lebanon, Missouri |
| Phone Number | 4177180712 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1134217698 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1736 |
|---|---|
| City | Lebanon |
| State | Missouri (MO) |
| Post Code | 65536 |
| Phone Number | 4177180712 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2001015007 |
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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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What is the unique 10-digit identifier code issued to Jonathan Douglas Wa Reagan by the Centers for Medicare & Medicaid Services?
The Jonathan Douglas Wa Reagan has been assigned the NPI (National Provider Identifier) 1134217698 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jonathan Douglas Wa Reagan is located?
The Jonathan Douglas Wa Reagan is situated at the following address: Po Box 1736, Lebanon, MO, 65536.
What is the Jonathan Douglas Wa Reagan's specialty and taxonomy code?
The Jonathan Douglas Wa Reagan's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date was the 1134217698 assigned to Jonathan Douglas Wa Reagan?
The Jonathan Douglas Wa Reagan was issued its 1134217698 on 2006-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jonathan Douglas Wa Reagan most recently updated or revised?
The information pertaining to Jonathan Douglas Wa Reagan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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