Pro Physical Therapy Llc in Laketown - Physical Therapist
Pro Physical Therapy Llc - NPI 1164619078
Pro Physical Therapy Llc is a Physical Therapist in Laketown, Utah. Pro Physical Therapy Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Pro Physical Therapy Llc is 1164619078. The last update date is 2007-09-25.
Pro Physical Therapy Llc's current location address is Po Box 152, Laketown, Utah. You can contact this provider via phone number 4359463512 and fax number 4359462311. The mailing address for Pro Physical Therapy Llc is Po Box 152, Laketown, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pro Physical Therapy Llc |
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Address | Po Box 152, Laketown, Utah |
Phone Number | 4359463512 |
Fax Number | 4359462311 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/PHYS |
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Authorized Official Name | Clark Layne Dallas |
Credentials | PT |
Telephone Number | 4359463512 |
NPI Number Detail
NPI Number | 1164619078 |
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Provider Enumeration Date | 2007-09-25 |
Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
Address | Po Box 152 |
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City | Laketown |
State | Utah (UT) |
Post Code | 840380152 |
Phone Number | 4359463512 |
Fax Number | 4359462311 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | 802 |
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 provider identifier assigned to Pro Physical Therapy Llc?
The Pro Physical Therapy Llc has been issued the NPI (National Provider Identifier) 1164619078 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pro Physical Therapy Llc?
The Pro Physical Therapy Llc is physically situated at Po Box 152, in the city of Laketown, state of UT, with the postal code 840380152.
What is Pro Physical Therapy Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pro Physical Therapy Llc is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164619078 to Pro Physical Therapy Llc?
The Centers for Medicare & Medicaid Services originally issued the 1164619078 to Pro Physical Therapy Llc on 2007-09-25.
When was the information regarding Pro Physical Therapy Llc most recently updated?
The details pertaining to the Pro Physical Therapy Llc, including its address, specialty, and other relevant information, were last refreshed on 2007-09-25.
NPI Number: 1144225426
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