Tamara S Dick is a Sports in Boulder, Colorado. Tamara S Dick practices all healthcare services and medical treatments related to Sports. The NPI Number for Tamara S Dick is 1073784658. The last update date is 2016-06-27.
Tamara S Dick's current location address is 5450 Western Ave, Boulder, Colorado. You can contact this provider via phone number 3034154770 and fax number 3034154769. The mailing address for Tamara S Dick is 5450 Western Ave, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tamara S Dick |
|---|---|
| Address | 5450 Western Ave, Boulder, Colorado |
| Phone Number | 3034154770 |
| Fax Number | 3034154769 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1073784658 |
|---|---|
| Provider Enumeration Date | 2008-03-21 |
| Last Updated Date | 2016-06-27 |
Provider Mailing Address Detail
| Address | 5450 Western Ave |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803012709 |
| Phone Number | 3034154770 |
| Fax Number | 3034154769 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PTL.0002832 |
|
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 |
|---|---|---|---|
| 59882841 | CO | -- |
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What is the unique identifier code issued to Tamara S Dick by the Centers for Medicare & Medicaid Services?
The Tamara S Dick has been assigned the NPI (National Provider Identifier) 1073784658. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tamara S Dick located?
The Tamara S Dick is located at 5450 Western Ave, Boulder, CO 803012709.
What is Tamara S Dick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tamara S Dick is Sports, and the taxonomy code that categorizes this field of expertise is 2251S0007X.
When did Tamara S Dick receive its 1073784658 assignment?
The Tamara S Dick was assigned its 1073784658 on 2008-03-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Tamara S Dick most recently updated?
The details pertaining to the Tamara S Dick, including its address, specialty, and other relevant information, were last refreshed on 2016-06-27.
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