Corey Dietrich Ulrich in Lewisville - Physical Therapist

Corey Dietrich Ulrich - NPI 1073681227

Corey Dietrich Ulrich is a Physical Therapist in Lewisville, Texas. Corey Dietrich Ulrich practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Corey Dietrich Ulrich is 1073681227. The last update date is 2014-07-18.

Corey Dietrich Ulrich's current location address is 966 N Garden Ridge Blvd, Lewisville, Texas. You can contact this provider via phone number 9724206605 and fax number 9724362770. The mailing address for Corey Dietrich Ulrich is 966 N Garden Ridge Blvd, Lewisville, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Corey Dietrich Ulrich
Address 966 N Garden Ridge Blvd, Lewisville, Texas
Phone Number 9724206605
Fax Number 9724362770
Sole Proprietor N
Credentials PT, MSPT

NPI Number Detail

NPI Number 1073681227
Provider Enumeration Date 2006-12-04
Last Updated Date 2014-07-18

Provider Mailing Address Detail

Address 966 N Garden Ridge Blvd
City Lewisville
State Texas (TX)
Post Code 750772876
Phone Number 9724206605
Fax Number 9724362770

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 1125342
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
81646T TX BCBS ID
1125342 TX PHYSICAL THERAPIST - REGULAR L
2844359-01 TX --

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FAQs about Corey Dietrich Ulrich

What is the unique identifier code issued to Corey Dietrich Ulrich by the Centers for Medicare & Medicaid Services (CMS)?

The Corey Dietrich Ulrich has been assigned the NPI (National Provider Identifier) 1073681227. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Corey Dietrich Ulrich is physically located?

The Corey Dietrich Ulrich is physically situated at the following address: 966 N Garden Ridge Blvd, Lewisville, TX, 750772876.

What is Corey Dietrich Ulrich's specialized field of practice, and what is the corresponding taxonomy classification code?

The Corey Dietrich Ulrich's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.

On what date did Corey Dietrich Ulrich receive its 1073681227 assignment from the Centers for Medicare & Medicaid Services?

The Corey Dietrich Ulrich was assigned its 1073681227 on 2006-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Corey Dietrich Ulrich's details last updated?

The information pertaining to the Corey Dietrich Ulrich, including its address, specialty, and other details, was most recently updated on 2014-07-18.

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