Rusty Wallman is a Sports in Chanhassen, Minnesota. Rusty Wallman practices all healthcare services and medical treatments related to Sports. The NPI Number for Rusty Wallman is 1508969551. The last update date is 2007-07-08.
Rusty Wallman's current location address is 7872 Century Boulevard, Chanhassen, Minnesota. You can contact this provider via phone number 9524489081 and fax number 9524489088. The mailing address for Rusty Wallman is 7872 Century Boulevard, Chanhassen, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rusty Wallman |
|---|---|
| Address | 7872 Century Boulevard, Chanhassen, Minnesota |
| Phone Number | 9524489081 |
| Fax Number | 9524489088 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1508969551 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7872 Century Boulevard |
|---|---|
| City | Chanhassen |
| State | Minnesota (MN) |
| Post Code | 55317 |
| Phone Number | 9524489081 |
| Fax Number | 9524489088 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 6935 |
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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 Rusty Wallman's unique identification number?
The Rusty Wallman has been assigned the NPI (National Provider Identifier) Number 1508969551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Rusty Wallman's facilities are situated?
The facilities of Rusty Wallman are physically located at the following address: 7872 Century Boulevard, Chanhassen, MN, 55317.
What is Rusty Wallman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Rusty Wallman is Sports, and the taxonomy classification code that categorizes this area of expertise is 2251S0007X.
On what date did the Rusty Wallman receive the assignment of its 1508969551 from the Centers for Medicare & Medicaid Services?
The Rusty Wallman was issued its 1508969551 by the Centers for Medicare & Medicaid Services on 2006-09-06.
When was the information related to Rusty Wallman most recently updated or refreshed?
The details pertaining to the Rusty Wallman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1720081763
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