Greg A Waters in Selah - Physical Therapist

Greg A Waters - NPI 1114001625

Greg A Waters is a Physical Therapist in Selah, Washington. Greg A Waters practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Greg A Waters is 1114001625. The last update date is 2012-02-28.

Greg A Waters's current location address is 304 S 1st St, Selah, Washington. You can contact this provider via phone number 5096975330 and fax number 5096975355. The mailing address for Greg A Waters is 304 S 1st St, Selah, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Greg A Waters
Address 304 S 1st St, Selah, Washington
Phone Number 5096975330
Fax Number 5096975355
Sole Proprietor Y
Credentials PT

NPI Number Detail

NPI Number 1114001625
Provider Enumeration Date 2006-10-24
Last Updated Date 2012-02-28

Provider Mailing Address Detail

Address 304 S 1st St
City Selah
State Washington (WA)
Post Code 989422005
Phone Number 5096975330
Fax Number 5096975355

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT00010130
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
290142 WA LABOR & INDUSTRIES

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FAQs about Greg A Waters

What is the unique identification code assigned to Greg A Waters by the Centers for Medicare & Medicaid Services?

The Greg A Waters has been issued the NPI (National Provider Identifier) 1114001625. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Greg A Waters?

The Greg A Waters is physically situated at 304 S 1St St, in the city of Selah, state of WA, with the postal code 989422005.

What is Greg A Waters's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Greg A Waters is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.

On what date did the Greg A Waters receive its 1114001625 assignment from the Centers for Medicare & Medicaid Services?

The Greg A Waters was assigned its 1114001625 by the Centers for Medicare & Medicaid Services on 2006-10-24.

As of what date were the details related to Greg A Waters most recently updated or revised?

The information pertaining to Greg A Waters, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-28.

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