Kim Samosky is a Sports in Riverside, California. Kim Samosky practices all healthcare services and medical treatments related to Sports. The NPI Number for Kim Samosky is 1639394414. The last update date is 2021-12-01.
Kim Samosky's current location address is 4444 Magnolia Ave, Riverside, California. You can contact this provider via phone number 9512743524 and fax number 9512743442. The mailing address for Kim Samosky is 4444 Magnolia Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Samosky |
|---|---|
| Address | 4444 Magnolia Ave, Riverside, California |
| Phone Number | 9512743524 |
| Fax Number | 9512743442 |
| Sole Proprietor | N |
| Credentials | MPT, OCS, |
NPI Number Detail
| NPI Number | 1639394414 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 4444 Magnolia Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925014136 |
| Phone Number | 9512743524 |
| Fax Number | 9512743442 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 25526 |
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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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What is the unique 10-digit identifier code assigned to Kim Samosky by the Centers for Medicare & Medicaid Services?
The Kim Samosky has been issued the NPI (National Provider Identifier) 1639394414 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kim Samosky is physically located?
The Kim Samosky is situated at the following address: 4444 Magnolia Ave, Riverside, CA 925014136.
What is Kim Samosky's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kim Samosky is Sports, and the taxonomy code that classifies this field of practice is 2251S0007X.
When was the Kim Samosky's 1639394414 issued?
The Kim Samosky's 1639394414 was issued on 2007-04-16.
When was the information regarding Kim Samosky most recently updated?
The details pertaining to the Kim Samosky, including its address, specialty, and other relevant information, were last refreshed on 2021-12-01.