West Bend Clinic, Inc. in West Bend - Physical Therapist
West Bend Clinic, Inc. - NPI 1043220692
West Bend Clinic, Inc. is a Physical Therapist in West Bend, Wisconsin. West Bend Clinic, Inc. practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for West Bend Clinic, Inc. is 1043220692. The last update date is 2012-05-23.
West Bend Clinic, Inc.'s current location address is 1700 W Paradise Dr, West Bend, Wisconsin. You can contact this provider via phone number 2623343451. The mailing address for West Bend Clinic, Inc. is 1700 W Paradise Dr, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Bend Clinic, Inc. |
|---|---|
| Address | 1700 W Paradise Dr, West Bend, Wisconsin |
| Phone Number | 2623343451 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Blommel G Gregory |
| Telephone Number | 2623343451 |
NPI Number Detail
| NPI Number | 1043220692 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2012-05-23 |
Provider Mailing Address Detail
| Address | 1700 W Paradise Dr |
|---|---|
| City | West Bend |
| State | Wisconsin (WI) |
| Post Code | 530959795 |
| Phone Number | 2623343451 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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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 |
|---|---|---|---|
| 21251400 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to West Bend Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The West Bend Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1043220692. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where West Bend Clinic, Inc. is physically located?
The West Bend Clinic, Inc. is situated at the following address: 1700 W Paradise Dr, West Bend, WI 530959795.
What is West Bend Clinic, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The West Bend Clinic, Inc.'s specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did the West Bend Clinic, Inc. receive its 1043220692 assignment from the Centers for Medicare & Medicaid Services?
The West Bend Clinic, Inc. was assigned its 1043220692 by the Centers for Medicare & Medicaid Services on 2006-08-08.
As of what date were the West Bend Clinic, Inc.'s details last updated?
The information pertaining to the West Bend Clinic, Inc., including its address, specialty, and other details, was most recently updated on 2012-05-23.