Brandee Koedam in Dakota Dunes - Physical Therapist
Brandee Koedam - NPI 1023010154
Brandee Koedam is a Physical Therapist in Dakota Dunes, South Dakota. Brandee Koedam practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Brandee Koedam is 1023010154. The last update date is 2007-07-08.
Brandee Koedam's current location address is 575 N Sioux Point Rd, Dakota Dunes, South Dakota. You can contact this provider via phone number 6052172615 and fax number 6052172915. The mailing address for Brandee Koedam is 575 N Sioux Point Rd, Dakota Dunes, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandee Koedam |
|---|---|
| Address | 575 N Sioux Point Rd, Dakota Dunes, South Dakota |
| Phone Number | 6052172615 |
| Fax Number | 6052172915 |
| Sole Proprietor | X |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1023010154 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 575 N Sioux Point Rd |
|---|---|
| City | Dakota Dunes |
| State | South Dakota (SD) |
| Post Code | 5704953120 |
| Phone Number | 6052172615 |
| Fax Number | 6052172915 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 1263 |
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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 Brandee Koedam by the Centers for Medicare & Medicaid Services?
The Brandee Koedam has been assigned the NPI (National Provider Identifier) 1023010154 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Brandee Koedam located?
The Brandee Koedam is located at 575 N Sioux Point Rd, Dakota Dunes, SD 5704953120.
What is the Brandee Koedam's area of specialization and corresponding taxonomy classification?
The Brandee Koedam's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023010154 to Brandee Koedam?
The Centers for Medicare & Medicaid Services originally issued the 1023010154 to Brandee Koedam on 2005-06-01.
As of what date was the information regarding Brandee Koedam, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brandee Koedam, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.