Jacob Ryan Ellingson is a Sports in Mora, Minnesota. Jacob Ryan Ellingson practices all healthcare services and medical treatments related to Sports. The NPI Number for Jacob Ryan Ellingson is 1346210432. The last update date is 2014-07-09.
Jacob Ryan Ellingson's current location address is 301 Highway 65 S, Mora, Minnesota. You can contact this provider via phone number 3202253356 and fax number 3202253370. The mailing address for Jacob Ryan Ellingson is 301 Highway 65 S, Mora, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacob Ryan Ellingson |
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Address | 301 Highway 65 S, Mora, Minnesota |
Phone Number | 3202253356 |
Fax Number | 3202253370 |
Sole Proprietor | N |
Credentials | MSPT, SCS, |
NPI Number Detail
NPI Number | 1346210432 |
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Provider Enumeration Date | 2006-01-23 |
Last Updated Date | 2014-07-09 |
Provider Mailing Address Detail
Address | 301 Highway 65 S |
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City | Mora |
State | Minnesota (MN) |
Post Code | 550511899 |
Phone Number | 3202253356 |
Fax Number | 3202253370 |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | 6749 |
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 identification code assigned to Jacob Ryan Ellingson by the Centers for Medicare & Medicaid Services?
The Jacob Ryan Ellingson has been issued the NPI (National Provider Identifier) 1346210432. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jacob Ryan Ellingson located?
The Jacob Ryan Ellingson is located at 301 Highway 65 S, Mora, MN 550511899.
What is Jacob Ryan Ellingson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacob Ryan Ellingson is Sports, and the corresponding taxonomy classification code for this specialized field is 2251S0007X.
On what date was the 1346210432 assigned to Jacob Ryan Ellingson?
The Jacob Ryan Ellingson was issued its 1346210432 on 2006-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jacob Ryan Ellingson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacob Ryan Ellingson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-07-09.