Kelly Eileen Mauss in Portland - Physical Therapist
Kelly Eileen Mauss - NPI 1770659427
Kelly Eileen Mauss is a Physical Therapist in Portland, Oregon. Kelly Eileen Mauss practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly Eileen Mauss is 1770659427. The last update date is 2010-11-03.
Kelly Eileen Mauss's current location address is 11481 Sw Hall Blvd, Portland, Oregon. You can contact this provider via phone number 8002198835 and fax number 5034431402. The mailing address for Kelly Eileen Mauss is 11481 Sw Hall Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Eileen Mauss |
|---|---|
| Address | 11481 Sw Hall Blvd, Portland, Oregon |
| Phone Number | 8002198835 |
| Fax Number | 5034431402 |
| Sole Proprietor | N |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1770659427 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2010-11-03 |
Provider Mailing Address Detail
| Address | 11481 Sw Hall Blvd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972238403 |
| Phone Number | 8002198835 |
| Fax Number | 5034431402 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT00008763 |
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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 |
|---|---|---|---|
| 1770659427 | WA | -- |
Post Comment/ Review Below
What is the Kelly Eileen Mauss's 1770659427?
The Kelly Eileen Mauss's NPI (National Provider Identifier) Number is 1770659427. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kelly Eileen Mauss?
The Kelly Eileen Mauss is situated at 11481 Sw Hall Blvd, in the city of Portland, state of OR, with the zip code 972238403.
What is Kelly Eileen Mauss's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Eileen Mauss is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date was the 1770659427 assigned to Kelly Eileen Mauss?
The Kelly Eileen Mauss was issued its 1770659427 on 2006-11-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kelly Eileen Mauss's details last updated?
The information pertaining to the Kelly Eileen Mauss, including its address, specialty, and other details, was most recently updated on 2010-11-03.
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