Santana Rohan Deacon in Milwaukee - Sports
Santana Rohan Deacon - NPI 1568632818
Santana Rohan Deacon is a Sports in Milwaukee, Wisconsin. Santana Rohan Deacon practices all healthcare services and medical treatments related to Sports. The NPI Number for Santana Rohan Deacon is 1568632818. The last update date is 2020-07-28.
Santana Rohan Deacon's current location address is 1626 W Fond Du Lac Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4145176585. The mailing address for Santana Rohan Deacon is 1626 W Fond Du Lac Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Santana Rohan Deacon |
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Address | 1626 W Fond Du Lac Ave, Milwaukee, Wisconsin |
Phone Number | 4145176585 |
Fax Number | |
Sole Proprietor | N |
Credentials | MPT |
NPI Number Detail
NPI Number | 1568632818 |
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Provider Enumeration Date | 2008-03-03 |
Last Updated Date | 2020-07-28 |
Provider Mailing Address Detail
Address | 1626 W Fond Du Lac Ave |
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City | Milwaukee |
State | Wisconsin (WI) |
Post Code | 532051228 |
Phone Number | 4145176585 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Sports |
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Taxonomy | 2251S0007X |
Licence No | 10088-024 |
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 Santana Rohan Deacon by the Centers for Medicare & Medicaid Services?
The Santana Rohan Deacon has been issued the NPI (National Provider Identifier) 1568632818. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Santana Rohan Deacon?
The Santana Rohan Deacon is situated at 1626 W Fond Du Lac Ave, in the city of Milwaukee, state of WI, with the zip code 532051228.
What is Santana Rohan Deacon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Santana Rohan Deacon's area of specialization is Sports, and the corresponding taxonomy code that categorizes this field of practice is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568632818 to Santana Rohan Deacon?
The Santana Rohan Deacon received its 1568632818 assignment from the Centers for Medicare & Medicaid Services on 2008-03-03.
As of what date were the Santana Rohan Deacon's details last updated?
The information pertaining to the Santana Rohan Deacon, including its address, specialty, and other details, was most recently updated on 2020-07-28.
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