Kelly J Pauley in Lake Geneva - Physical Therapist
Kelly J Pauley - NPI 1124054226
Kelly J Pauley is a Physical Therapist in Lake Geneva, Wisconsin. Kelly J Pauley practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly J Pauley is 1124054226. The last update date is 2007-07-08.
Kelly J Pauley's current location address is N2950 State Road 67, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622450535. The mailing address for Kelly J Pauley is N2950 State Road 67, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly J Pauley |
|---|---|
| Address | N2950 State Road 67, Lake Geneva, Wisconsin |
| Phone Number | 2622450535 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1124054226 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | N2950 State Road 67 |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531472655 |
| Phone Number | 2622450535 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5425 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 |
|---|---|---|---|
| 40316200 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly J Pauley by the Centers for Medicare & Medicaid Services?
The Kelly J Pauley has been assigned the NPI (National Provider Identifier) 1124054226. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly J Pauley located?
The Kelly J Pauley is located at N2950 State Road 67, Lake Geneva, WI 531472655.
What is Kelly J Pauley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly J Pauley'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 1124054226 to Kelly J Pauley?
The Centers for Medicare & Medicaid Services originally issued the 1124054226 to Kelly J Pauley on 2006-06-23.
When was the information related to Kelly J Pauley most recently updated or refreshed?
The details pertaining to the Kelly J Pauley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.