John Tyus O'Dell in Waldo - Physical Therapist
John Tyus O'Dell - NPI 1124105945
John Tyus O'Dell is a Physical Therapist in Waldo, Wisconsin. John Tyus O'Dell practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for John Tyus O'Dell is 1124105945. The last update date is 2008-08-05.
John Tyus O'Dell's current location address is W4523 County Road Iw, Waldo, Wisconsin. You can contact this provider via phone number 9205646107. The mailing address for John Tyus O'Dell is W4523 County Road Iw, Waldo, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Tyus O'Dell |
|---|---|
| Address | W4523 County Road Iw, Waldo, Wisconsin |
| Phone Number | 9205646107 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1124105945 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2008-08-05 |
Provider Mailing Address Detail
| Address | W4523 County Road Iw |
|---|---|
| City | Waldo |
| State | Wisconsin (WI) |
| Post Code | 530931639 |
| Phone Number | 9205646107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5421-024 |
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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 |
|---|---|---|---|
| 7431405 | WI | AETNA | |
| 40314400 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Tyus O'Dell by the Centers for Medicare & Medicaid Services?
The John Tyus O'Dell has been assigned the NPI (National Provider Identifier) 1124105945. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John Tyus O'Dell?
The John Tyus O'Dell is situated at W4523 County Road Iw, in the city of Waldo, state of WI, with the zip code 530931639.
What is the John Tyus O'Dell's area of specialization and corresponding taxonomy classification?
The John Tyus O'Dell's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1124105945 to John Tyus O'Dell?
The Centers for Medicare & Medicaid Services assigned the 1124105945 to John Tyus O'Dell on 2006-11-01.
As of what date was the information pertaining to John Tyus O'Dell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Tyus O'Dell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-05.