Kelli Jo Brizzolara in Dallas - Orthopedic

Kelli Jo Brizzolara - NPI 1609098011

Kelli Jo Brizzolara is a Orthopedic in Dallas, Texas. Kelli Jo Brizzolara practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Kelli Jo Brizzolara is 1609098011. The last update date is 2008-05-29.

Kelli Jo Brizzolara's current location address is Po Box 670769, Dallas, Texas. You can contact this provider via phone number 2142390990 and fax number 2142390991. The mailing address for Kelli Jo Brizzolara is Po Box 670769, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelli Jo Brizzolara
Address Po Box 670769, Dallas, Texas
Phone Number 2142390990
Fax Number 2142390991
Sole Proprietor N
Credentials PT, OCS

NPI Number Detail

NPI Number 1609098011
Provider Enumeration Date 2007-05-03
Last Updated Date 2008-05-29

Provider Mailing Address Detail

Address Po Box 670769
City Dallas
State Texas (TX)
Post Code 753670769
Phone Number 2142390990
Fax Number 2142390991

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No 1153751
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
8T7997 TX BLUE CROSS BLUE SHIELD OF TEXA

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FAQs about Kelli Jo Brizzolara

What is the unique 10-digit identifier code issued to Kelli Jo Brizzolara by the Centers for Medicare & Medicaid Services?

The Kelli Jo Brizzolara has been assigned the NPI (National Provider Identifier) 1609098011 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kelli Jo Brizzolara is physically located?

The Kelli Jo Brizzolara is physically situated at the following address: Po Box 670769, Dallas, TX, 753670769.

What is Kelli Jo Brizzolara's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelli Jo Brizzolara is Orthopedic, and the corresponding taxonomy classification code for this specialized field is 2251X0800X.

When did Kelli Jo Brizzolara receive its 1609098011 assignment?

The Kelli Jo Brizzolara was assigned its 1609098011 on 2007-05-03, which is the date when this unique identifier was issued to the organization.

When was the information regarding Kelli Jo Brizzolara most recently updated?

The details pertaining to the Kelli Jo Brizzolara, including its address, specialty, and other relevant information, were last refreshed on 2008-05-29.

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