Kelly Lee Bushore in Altoona - Physical Therapist
Kelly Lee Bushore - NPI 1194708115
Kelly Lee Bushore is a Physical Therapist in Altoona, Pennsylvania. Kelly Lee Bushore practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly Lee Bushore is 1194708115. The last update date is 2007-07-08.
Kelly Lee Bushore's current location address is 300 E Plank Rd, Altoona, Pennsylvania. You can contact this provider via phone number 8149417708 and fax number 8149417715. The mailing address for Kelly Lee Bushore is 300 E Plank Rd, Altoona, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Lee Bushore |
|---|---|
| Address | 300 E Plank Rd, Altoona, Pennsylvania |
| Phone Number | 8149417708 |
| Fax Number | 8149417715 |
| Sole Proprietor | X |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1194708115 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 E Plank Rd |
|---|---|
| City | Altoona |
| State | Pennsylvania (PA) |
| Post Code | 16602 |
| Phone Number | 8149417708 |
| Fax Number | 8149417715 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT015724 |
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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 |
|---|---|---|---|
| 1438404 | PA | HIGHMARK |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly Lee Bushore by the Centers for Medicare & Medicaid Services?
The Kelly Lee Bushore has been assigned the NPI (National Provider Identifier) 1194708115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kelly Lee Bushore?
The Kelly Lee Bushore is physically situated at 300 E Plank Rd, in the city of Altoona, state of PA, with the postal code 16602.
What is the area of specialization for Kelly Lee Bushore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly Lee Bushore is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194708115 to Kelly Lee Bushore?
The Centers for Medicare & Medicaid Services originally issued the 1194708115 to Kelly Lee Bushore on 2005-11-23.
As of what date was the information pertaining to Kelly Lee Bushore, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly Lee Bushore, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.