Nikki Poole is a Pediatrics in Greentown, Indiana. Nikki Poole practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Nikki Poole is 1629244017. The last update date is 2008-05-05.
Nikki Poole's current location address is 9909 E 100 S, Greentown, Indiana. You can contact this provider via phone number 7656280605 and fax number 7656283639. The mailing address for Nikki Poole is 9909 E 100 S, Greentown, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nikki Poole |
|---|---|
| Address | 9909 E 100 S, Greentown, Indiana |
| Phone Number | 7656280605 |
| Fax Number | 7656283639 |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1629244017 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2008-05-05 |
Provider Mailing Address Detail
| Address | 9909 E 100 S |
|---|---|
| City | Greentown |
| State | Indiana (IN) |
| Post Code | 469369163 |
| Phone Number | 7656280605 |
| Fax Number | 7656283639 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 6001474 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200844350 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Nikki Poole by the Centers for Medicare & Medicaid Services (CMS)?
The Nikki Poole has been assigned the NPI (National Provider Identifier) 1629244017. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Nikki Poole located?
The Nikki Poole is located at 9909 E 100 S, Greentown, IN 469369163.
What is Nikki Poole's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nikki Poole's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629244017 to Nikki Poole?
The Centers for Medicare & Medicaid Services originally issued the 1629244017 to Nikki Poole on 2008-05-05.
As of what date were the details related to Nikki Poole most recently updated or revised?
The information pertaining to Nikki Poole, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-05.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC