Lisa Riedle is a Sports in Atherton, California. Lisa Riedle practices all healthcare services and medical treatments related to Sports. The NPI Number for Lisa Riedle is 1619095007. The last update date is 2007-07-08.
Lisa Riedle's current location address is 3351 El Camino Real, Atherton, California. You can contact this provider via phone number 6503658350 and fax number 6503658353. The mailing address for Lisa Riedle is 3351 El Camino Real, Atherton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Riedle |
|---|---|
| Address | 3351 El Camino Real, Atherton, California |
| Phone Number | 6503658350 |
| Fax Number | 6503658353 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1619095007 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3351 El Camino Real |
|---|---|
| City | Atherton |
| State | California (CA) |
| Post Code | 940273811 |
| Phone Number | 6503658350 |
| Fax Number | 6503658353 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT17939 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT17939 | CA | PT LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa Riedle by the Centers for Medicare & Medicaid Services?
The Lisa Riedle has been assigned the NPI (National Provider Identifier) 1619095007 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Lisa Riedle is physically located?
The Lisa Riedle is physically situated at the following address: 3351 El Camino Real, Atherton, CA, 940273811.
What is Lisa Riedle's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Riedle is Sports, and the corresponding taxonomy classification code for this specialized field is 2251S0007X.
On what date did Lisa Riedle receive its 1619095007 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Riedle was assigned its 1619095007 on 2007-03-26, 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 Lisa Riedle's details last updated?
The information pertaining to the Lisa Riedle, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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