Lara A Bleck is a Physical Therapist in Appleton, Wisconsin. Lara A Bleck practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Lara A Bleck is 1114002623. The last update date is 2008-07-18.
Lara A Bleck's current location address is 2105 E Enterprise Ave, Appleton, Wisconsin. You can contact this provider via phone number 9209912561 and fax number 9209912563. The mailing address for Lara A Bleck is 2105 E Enterprise Ave, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara A Bleck |
|---|---|
| Address | 2105 E Enterprise Ave, Appleton, Wisconsin |
| Phone Number | 9209912561 |
| Fax Number | 9209912563 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1114002623 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2008-07-18 |
Provider Mailing Address Detail
| Address | 2105 E Enterprise Ave |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549137862 |
| Phone Number | 9209912561 |
| Fax Number | 9209912563 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 6128024 |
|
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 |
|---|---|---|---|
| 40472100 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lara A Bleck?
The Lara A Bleck has been issued the NPI (National Provider Identifier) 1114002623 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 Lara A Bleck?
The Lara A Bleck is physically situated at 2105 E Enterprise Ave, in the city of Appleton, state of WI, with the postal code 549137862.
What is Lara A Bleck's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lara A Bleck is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
When did Lara A Bleck receive its 1114002623 assignment?
The Lara A Bleck was assigned its 1114002623 on 2006-10-25, which is the date when this unique identifier was issued to the organization.
As of what date were the Lara A Bleck's details last updated?
The information pertaining to the Lara A Bleck, including its address, specialty, and other details, was most recently updated on 2008-07-18.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN