Judith Lee Grucella in Boise - Orthopedic
Judith Lee Grucella - NPI 1437210853
Judith Lee Grucella is a Orthopedic in Boise, Idaho. Judith Lee Grucella practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Judith Lee Grucella is 1437210853. The last update date is 2007-07-08.
Judith Lee Grucella's current location address is 4477 Emerald St Ste C125, Boise, Idaho. You can contact this provider via phone number 2083437700. The mailing address for Judith Lee Grucella is 4477 Emerald St Ste C125, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Lee Grucella |
|---|---|
| Address | 4477 Emerald St Ste C125, Boise, Idaho |
| Phone Number | 2083437700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1437210853 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4477 Emerald St Ste C125 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837062058 |
| Phone Number | 2083437700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PT1173 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| T7978 | ID | BLUE CROSS |
Post Comment/ Review Below
What is the Judith Lee Grucella's unique identification number?
The Judith Lee Grucella has been assigned the NPI (National Provider Identifier) Number 1437210853 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Judith Lee Grucella located?
The Judith Lee Grucella is located at 4477 Emerald St Ste C125, Boise, ID 837062058.
What is the Judith Lee Grucella's specialty and taxonomy code?
The Judith Lee Grucella's specialty is Orthopedic, and the corresponding taxonomy code is 2251X0800X.
When did Judith Lee Grucella receive its 1437210853 assignment?
The Judith Lee Grucella was assigned its 1437210853 on 2006-12-12, which is the date when this unique identifier was issued to the organization.
As of what date were the Judith Lee Grucella's details last updated?
The information pertaining to the Judith Lee Grucella, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA