Tara M Shank is a Physical Therapist in Green Bay, Wisconsin. Tara M Shank practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Tara M Shank is 1063442531. The last update date is 2007-07-08.
Tara M Shank's current location address is 2020 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204457222. The mailing address for Tara M Shank is 2020 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara M Shank |
|---|---|
| Address | 2020 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9204457222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1063442531 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2020 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543012291 |
| Phone Number | 9204457222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 10195-024 |
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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 |
|---|---|---|---|
| 10195-024 | WI | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tara M Shank by the Centers for Medicare & Medicaid Services?
The Tara M Shank has been assigned the NPI (National Provider Identifier) 1063442531 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Tara M Shank?
The Tara M Shank is situated at 2020 S Webster Ave, in the city of Green Bay, state of WI, with the zip code 543012291.
What is the Tara M Shank's area of specialization and corresponding taxonomy classification?
The Tara M Shank's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
When did the Tara M Shank receive its 1063442531?
The Tara M Shank was issued its 1063442531 on 2006-07-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Tara M Shank, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tara M Shank, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.