Futachai Rasavong in Hales Corners - Physical Therapist

Futachai Rasavong - NPI 1225184013

Futachai Rasavong is a Physical Therapist in Hales Corners, Wisconsin. Futachai Rasavong practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Futachai Rasavong is 1225184013. The last update date is 2021-07-09.

Futachai Rasavong's current location address is 5301 S 108th St, Hales Corners, Wisconsin. You can contact this provider via phone number 4145297375 and fax number 4145297567. The mailing address for Futachai Rasavong is 5301 S 108th St, Hales Corners, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Futachai Rasavong
Address 5301 S 108th St, Hales Corners, Wisconsin
Phone Number 4145297375
Fax Number 4145297567
Sole Proprietor N
Credentials M.P.T.

NPI Number Detail

NPI Number 1225184013
Provider Enumeration Date 2007-01-26
Last Updated Date 2021-07-09

Provider Mailing Address Detail

Address 5301 S 108th St
City Hales Corners
State Wisconsin (WI)
Post Code 531301332
Phone Number 4145297375
Fax Number 4145297567

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 9557024
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
100017332 WI --

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FAQs about Futachai Rasavong

What is the unique identification code assigned to Futachai Rasavong by the Centers for Medicare & Medicaid Services?

The Futachai Rasavong has been issued the NPI (National Provider Identifier) 1225184013. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Futachai Rasavong is located?

The Futachai Rasavong is situated at the following address: 5301 S 108Th St, Hales Corners, WI, 531301332.

What is Futachai Rasavong's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Futachai Rasavong is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.

When did Futachai Rasavong receive its 1225184013 assignment?

The Futachai Rasavong was assigned its 1225184013 on 2007-01-26, which is the date when this unique identifier was issued to the organization.

When was the information regarding Futachai Rasavong most recently updated?

The details pertaining to the Futachai Rasavong, including its address, specialty, and other relevant information, were last refreshed on 2021-07-09.

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