Chickasha Physical Therapy Clinic in Chickasha - Sports
Chickasha Physical Therapy Clinic - NPI 1417078668
Chickasha Physical Therapy Clinic is a Sports in Chickasha, Oklahoma. Chickasha Physical Therapy Clinic practices all healthcare services and medical treatments related to Sports. The NPI Number for Chickasha Physical Therapy Clinic is 1417078668. The last update date is 2008-05-16.
Chickasha Physical Therapy Clinic's current location address is 626 W Kansas Ave, Chickasha, Oklahoma. You can contact this provider via phone number 4052225030 and fax number 4052225050. The mailing address for Chickasha Physical Therapy Clinic is 626 W Kansas Ave, Chickasha, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chickasha Physical Therapy Clinic |
|---|---|
| Address | 626 W Kansas Ave, Chickasha, Oklahoma |
| Phone Number | 4052225030 |
| Fax Number | 4052225050 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Horn Brenda |
| Credentials | PT |
| Telephone Number | 4052225030 |
NPI Number Detail
| NPI Number | 1417078668 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2008-05-16 |
Provider Mailing Address Detail
| Address | 626 W Kansas Ave |
|---|---|
| City | Chickasha |
| State | Oklahoma (OK) |
| Post Code | 73018 |
| Phone Number | 4052225030 |
| Fax Number | 4052225050 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 464 |
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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 Chickasha Physical Therapy Clinic's unique identification number?
The Chickasha Physical Therapy Clinic has been assigned the NPI (National Provider Identifier) Number 1417078668 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Chickasha Physical Therapy Clinic?
The Chickasha Physical Therapy Clinic is physically situated at 626 W Kansas Ave, in the city of Chickasha, state of OK, with the postal code 73018.
What is Chickasha Physical Therapy Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Chickasha Physical Therapy Clinic's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
On what date did Chickasha Physical Therapy Clinic receive its 1417078668 assignment from the Centers for Medicare & Medicaid Services?
The Chickasha Physical Therapy Clinic was assigned its 1417078668 on 2007-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Chickasha Physical Therapy Clinic most recently updated?
The details pertaining to the Chickasha Physical Therapy Clinic, including its address, specialty, and other relevant information, were last refreshed on 2008-05-16.