Tracy Rene Diercks in Diamondhead - Pediatrics
Tracy Rene Diercks - NPI 1740242619
Tracy Rene Diercks is a Pediatrics in Diamondhead, Mississippi. Tracy Rene Diercks practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tracy Rene Diercks is 1740242619. The last update date is 2007-07-08.
Tracy Rene Diercks's current location address is 7834 Hilo Pl, Diamondhead, Mississippi. You can contact this provider via phone number 2282552599. The mailing address for Tracy Rene Diercks is 7834 Hilo Pl, Diamondhead, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Rene Diercks |
|---|---|
| Address | 7834 Hilo Pl, Diamondhead, Mississippi |
| Phone Number | 2282552599 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DPT, PT |
NPI Number Detail
| NPI Number | 1740242619 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7834 Hilo Pl |
|---|---|
| City | Diamondhead |
| State | Mississippi (MS) |
| Post Code | 395253721 |
| Phone Number | 2282552599 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1079085 |
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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, |
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Post Comment/ Review Below
What is the Tracy Rene Diercks's unique identification number?
The Tracy Rene Diercks has been assigned the NPI (National Provider Identifier) Number 1740242619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Tracy Rene Diercks's facilities are geographically located?
The facilities of Tracy Rene Diercks are physically situated at the following location: 7834 Hilo Pl, Diamondhead, MS, 395253721.
What is Tracy Rene Diercks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracy Rene Diercks'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 assign the 1740242619 to Tracy Rene Diercks?
The Centers for Medicare & Medicaid Services assigned the 1740242619 to Tracy Rene Diercks on 2006-04-05.
As of what date were the Tracy Rene Diercks's details last updated?
The information pertaining to the Tracy Rene Diercks, including its address, specialty, and other details, was most recently updated on 2007-07-08.