Kathy Elaine Maxey is a Sports in Columbia, Missouri. Kathy Elaine Maxey practices all healthcare services and medical treatments related to Sports. The NPI Number for Kathy Elaine Maxey is 1003025446. The last update date is 2007-07-08.
Kathy Elaine Maxey's current location address is 2308 Kyle Dr, Columbia, Missouri. You can contact this provider via phone number 5734450595 and fax number 5732562764. The mailing address for Kathy Elaine Maxey is 2308 Kyle Dr, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathy Elaine Maxey |
|---|---|
| Address | 2308 Kyle Dr, Columbia, Missouri |
| Phone Number | 5734450595 |
| Fax Number | 5732562764 |
| Sole Proprietor | N |
| Credentials | PT, ATC |
NPI Number Detail
| NPI Number | 1003025446 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2308 Kyle Dr |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652035705 |
| Phone Number | 5734450595 |
| Fax Number | 5732562764 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 1865 |
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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 identification code assigned to Kathy Elaine Maxey by the Centers for Medicare & Medicaid Services?
The Kathy Elaine Maxey has been issued the NPI (National Provider Identifier) 1003025446. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kathy Elaine Maxey located?
The Kathy Elaine Maxey is located at 2308 Kyle Dr, Columbia, MO 652035705.
What is Kathy Elaine Maxey's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kathy Elaine Maxey is Sports, and the taxonomy code that categorizes this field of expertise is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003025446 to Kathy Elaine Maxey?
The Centers for Medicare & Medicaid Services originally issued the 1003025446 to Kathy Elaine Maxey on 2007-05-22.
As of what date were the Kathy Elaine Maxey's details last updated?
The information pertaining to the Kathy Elaine Maxey, including its address, specialty, and other details, was most recently updated on 2007-07-08.