Niccole J Mack in Watertown - Physical Therapist
Niccole J Mack - NPI 1063401503
Niccole J Mack is a Physical Therapist in Watertown, South Dakota. Niccole J Mack practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Niccole J Mack is 1063401503. The last update date is 2013-11-05.
Niccole J Mack's current location address is 901 4th St Nw, Watertown, South Dakota. You can contact this provider via phone number 6058868471 and fax number 6058869317. The mailing address for Niccole J Mack is 901 4th St Nw, Watertown, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Niccole J Mack |
|---|---|
| Address | 901 4th St Nw, Watertown, South Dakota |
| Phone Number | 6058868471 |
| Fax Number | 6058869317 |
| Sole Proprietor | N |
| Credentials | D.P.T. |
NPI Number Detail
| NPI Number | 1063401503 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2013-11-05 |
Provider Mailing Address Detail
| Address | 901 4th St Nw |
|---|---|
| City | Watertown |
| State | South Dakota (SD) |
| Post Code | 572011558 |
| Phone Number | 6058868471 |
| Fax Number | 6058869317 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 1225 |
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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 |
|---|---|---|---|
| 5834040 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Niccole J Mack by the Centers for Medicare & Medicaid Services?
The Niccole J Mack has been issued the NPI (National Provider Identifier) 1063401503 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Niccole J Mack is physically located?
The Niccole J Mack is physically situated at the following address: 901 4Th St Nw, Watertown, SD, 572011558.
What is Niccole J Mack's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Niccole J Mack is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
When was the Niccole J Mack's 1063401503 issued?
The Niccole J Mack's 1063401503 was issued on 2005-10-18.
As of what date were the details related to Niccole J Mack most recently updated or revised?
The information pertaining to Niccole J Mack, including its address, specialty, and other relevant details, was last updated or revised on 2013-11-05.