Steven G Wittrock in Des Moines - Orthopedic
Steven G Wittrock - NPI 1104823129
Steven G Wittrock is a Orthopedic in Des Moines, Washington. Steven G Wittrock practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Steven G Wittrock is 1104823129. The last update date is 2007-07-09.
Steven G Wittrock's current location address is 27431 12th Pl S, Des Moines, Washington. You can contact this provider via phone number 2538382464 and fax number 2538384991. The mailing address for Steven G Wittrock is 27431 12th Pl S, Des Moines, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Steven G Wittrock |
---|---|
Address | 27431 12th Pl S, Des Moines, Washington |
Phone Number | 2538382464 |
Fax Number | 2538384991 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1104823129 |
---|---|
Provider Enumeration Date | 2005-07-05 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 27431 12th Pl S |
---|---|
City | Des Moines |
State | Washington (WA) |
Post Code | 981989418 |
Phone Number | 2538382464 |
Fax Number | 2538384991 |
Provider's Primary Taxonomy Detail
Speciality | Orthopedic |
---|---|
Taxonomy | 2251X0800X |
Licence No | PT00002055 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
15613 | WA | DEPT OF LABOR & INDUSTRIE | |
8378366 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Steven G Wittrock by the Centers for Medicare & Medicaid Services?
The Steven G Wittrock has been assigned the NPI (National Provider Identifier) 1104823129 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Steven G Wittrock's facilities are situated?
The facilities of Steven G Wittrock are physically located at the following address: 27431 12Th Pl S, Des Moines, WA, 981989418.
What is the Steven G Wittrock's area of specialization and corresponding taxonomy classification?
The Steven G Wittrock's specialty field is Orthopedic, and it falls under the taxonomy code 2251X0800X, which categorizes healthcare providers based on their specialties.
On what date did the Steven G Wittrock receive its 1104823129 assignment from the Centers for Medicare & Medicaid Services?
The Steven G Wittrock was assigned its 1104823129 by the Centers for Medicare & Medicaid Services on 2005-07-05.
When was the information pertaining to Steven G Wittrock most recently updated or revised?
The details related to Steven G Wittrock, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.