Joanne Karen Ickstadt in Grand Rapids - Physical Therapist
Joanne Karen Ickstadt - NPI 1649476789
Joanne Karen Ickstadt is a Physical Therapist in Grand Rapids, Michigan. Joanne Karen Ickstadt practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Joanne Karen Ickstadt is 1649476789. The last update date is 2007-07-08.
Joanne Karen Ickstadt's current location address is 2900 Charlevoix Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 8006341077. The mailing address for Joanne Karen Ickstadt is 2900 Charlevoix Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanne Karen Ickstadt |
|---|---|
| Address | 2900 Charlevoix Dr Se, Grand Rapids, Michigan |
| Phone Number | 8006341077 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1649476789 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2900 Charlevoix Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495467085 |
| Phone Number | 8006341077 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT00010467 |
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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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Post Comment/ Review Below
What is the Joanne Karen Ickstadt's 1649476789?
The Joanne Karen Ickstadt's NPI (National Provider Identifier) Number is 1649476789. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Joanne Karen Ickstadt's facilities are situated?
The facilities of Joanne Karen Ickstadt are physically located at the following address: 2900 Charlevoix Dr Se, Grand Rapids, MI, 495467085.
What is Joanne Karen Ickstadt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joanne Karen Ickstadt's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649476789 to Joanne Karen Ickstadt?
The Centers for Medicare & Medicaid Services originally issued the 1649476789 to Joanne Karen Ickstadt on 2007-06-25.
When was the information regarding Joanne Karen Ickstadt, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Joanne Karen Ickstadt, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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