Jennifer Lynn Balthazor in Green Bay - Physical Therapist
Jennifer Lynn Balthazor - NPI 1093981623
Jennifer Lynn Balthazor is a Physical Therapist in Green Bay, Wisconsin. Jennifer Lynn Balthazor practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jennifer Lynn Balthazor is 1093981623. The last update date is 2008-05-04.
Jennifer Lynn Balthazor's current location address is 2919 Shelter Creek Ct, Green Bay, Wisconsin. You can contact this provider via phone number 9204290921. The mailing address for Jennifer Lynn Balthazor is 2919 Shelter Creek Ct, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Lynn Balthazor |
|---|---|
| Address | 2919 Shelter Creek Ct, Green Bay, Wisconsin |
| Phone Number | 9204290921 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1093981623 |
|---|---|
| Provider Enumeration Date | 2008-05-04 |
| Last Updated Date | 2008-05-04 |
Provider Mailing Address Detail
| Address | 2919 Shelter Creek Ct |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543134549 |
| Phone Number | 9204290921 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 4842-24 |
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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 |
|---|---|---|---|
| 40313400 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Lynn Balthazor by the Centers for Medicare & Medicaid Services?
The Jennifer Lynn Balthazor has been assigned the NPI (National Provider Identifier) 1093981623. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jennifer Lynn Balthazor's physical address?
The Jennifer Lynn Balthazor is physically located at 2919 Shelter Creek Ct, in the city of Green Bay, WI, with the postal code 543134549.
What is the Jennifer Lynn Balthazor's specialty and taxonomy code?
The Jennifer Lynn Balthazor's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093981623 to Jennifer Lynn Balthazor?
The Centers for Medicare & Medicaid Services originally issued the 1093981623 to Jennifer Lynn Balthazor on 2008-05-04.
When was the Jennifer Lynn Balthazor's information last updated?
The Jennifer Lynn Balthazor's information was last updated on 2008-05-04.