Michael T Himmelman in Poplar Bluff - Sports

Michael T Himmelman - NPI 1932316940

Michael T Himmelman is a Sports in Poplar Bluff, Missouri. Michael T Himmelman practices all healthcare services and medical treatments related to Sports. The NPI Number for Michael T Himmelman is 1932316940. The last update date is 2013-10-29.

Michael T Himmelman's current location address is 225 Physicians Park, Poplar Bluff, Missouri. You can contact this provider via phone number 5737789348 and fax number 5736864870. The mailing address for Michael T Himmelman is 225 Physicians Park, Poplar Bluff, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael T Himmelman
Address 225 Physicians Park, Poplar Bluff, Missouri
Phone Number 5737789348
Fax Number 5736864870
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1932316940
Provider Enumeration Date 2007-05-17
Last Updated Date 2013-10-29

Provider Mailing Address Detail

Address 225 Physicians Park
City Poplar Bluff
State Missouri (MO)
Post Code 639013956
Phone Number 5737789348
Fax Number 5736864870

Provider's Primary Taxonomy Detail

Speciality Sports
Taxonomy 2251S0007X
Licence No PT2966
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
164036721 AR --

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FAQs about Michael T Himmelman

What is the unique 10-digit identification code assigned to Michael T Himmelman by the Centers for Medicare & Medicaid Services?

The Michael T Himmelman has been issued the NPI (National Provider Identifier) 1932316940, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Michael T Himmelman is located?

The Michael T Himmelman is situated at the following address: 225 Physicians Park, Poplar Bluff, MO, 639013956.

What is Michael T Himmelman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael T Himmelman is Sports, and the taxonomy code that classifies this field of practice is 2251S0007X.

On what date did Michael T Himmelman receive its 1932316940 assignment from the Centers for Medicare & Medicaid Services?

The Michael T Himmelman was assigned its 1932316940 on 2007-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Michael T Himmelman's details last updated?

The information pertaining to the Michael T Himmelman, including its address, specialty, and other details, was most recently updated on 2013-10-29.

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