Republic R-Iii in Republic - Physical Therapist
Republic R-Iii - NPI 1164561890
Republic R-Iii is a Physical Therapist in Republic, Missouri. Republic R-Iii practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Republic R-Iii is 1164561890. The last update date is 2016-06-15.
Republic R-Iii's current location address is 518 N Hampton Ave, Republic, Missouri. You can contact this provider via phone number 4177323605 and fax number 4177323609. The mailing address for Republic R-Iii is 518 N Hampton Ave, Republic, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Republic R-Iii |
|---|---|
| Address | 518 N Hampton Ave, Republic, Missouri |
| Phone Number | 4177323605 |
| Fax Number | 4177323609 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DISTRICT C |
|---|---|
| Authorized Official Name | Goldenberg Kilina |
| Telephone Number | 4177323605 |
NPI Number Detail
| NPI Number | 1164561890 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2016-06-15 |
Provider Mailing Address Detail
| Address | 518 N Hampton Ave |
|---|---|
| City | Republic |
| State | Missouri (MO) |
| Post Code | 657381323 |
| Phone Number | 4177323605 |
| Fax Number | 4177323609 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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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 |
|---|---|---|---|
| 506157403 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Republic R-Iii?
The Republic R-Iii has been issued the NPI (National Provider Identifier) 1164561890 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Republic R-Iii is located?
The Republic R-Iii is situated at the following address: 518 N Hampton Ave, Republic, MO, 657381323.
What is the area of specialization for Republic R-Iii, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Republic R-Iii is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Republic R-Iii receive the assignment of its 1164561890 from the Centers for Medicare & Medicaid Services?
The Republic R-Iii was issued its 1164561890 by the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date were the details related to Republic R-Iii most recently updated or revised?
The information pertaining to Republic R-Iii, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-15.