Stacy Provost in Westlake - Physical Therapist
Stacy Provost - NPI 1265640684
Stacy Provost is a Physical Therapist in Westlake, Ohio. Stacy Provost practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stacy Provost is 1265640684. The last update date is 2007-07-08.
Stacy Provost's current location address is 26520 Center Ridge Rd, Westlake, Ohio. You can contact this provider via phone number 4408713030 and fax number 4408993009. The mailing address for Stacy Provost is 26520 Center Ridge Rd, Westlake, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacy Provost |
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Address | 26520 Center Ridge Rd, Westlake, Ohio |
Phone Number | 4408713030 |
Fax Number | 4408993009 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1265640684 |
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Provider Enumeration Date | 2007-05-18 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 26520 Center Ridge Rd |
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City | Westlake |
State | Ohio (OH) |
Post Code | 441454033 |
Phone Number | 4408713030 |
Fax Number | 4408993009 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | 1637 |
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 identifier code issued to Stacy Provost by the Centers for Medicare & Medicaid Services?
The Stacy Provost has been assigned the NPI (National Provider Identifier) 1265640684. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stacy Provost's facilities are situated?
The facilities of Stacy Provost are physically located at the following address: 26520 Center Ridge Rd, Westlake, OH, 441454033.
What is Stacy Provost's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacy Provost'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 1265640684 assigned to Stacy Provost?
The Stacy Provost was issued its 1265640684 on 2007-05-18, 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 Stacy Provost most recently updated or revised?
The information pertaining to Stacy Provost, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.