Pro-Active Sports Med Llc in Olympia - Orthopedic
Pro-Active Sports Med Llc - NPI 1538380639
Pro-Active Sports Med Llc is a Orthopedic in Olympia, Washington. Pro-Active Sports Med Llc practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Pro-Active Sports Med Llc is 1538380639. The last update date is 2008-07-22.
Pro-Active Sports Med Llc's current location address is 2960 Limited Ln Nw, Olympia, Washington. You can contact this provider via phone number 3607047276 and fax number 3607047277. The mailing address for Pro-Active Sports Med Llc is 2960 Limited Ln Nw, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pro-Active Sports Med Llc |
---|---|
Address | 2960 Limited Ln Nw, Olympia, Washington |
Phone Number | 3607047276 |
Fax Number | 3607047277 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CLINIC DIR |
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Authorized Official Name | Schmidt E. Robert |
Credentials | DPT |
Telephone Number | 3607047276 |
NPI Number Detail
NPI Number | 1538380639 |
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Provider Enumeration Date | 2007-05-02 |
Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
Address | 2960 Limited Ln Nw |
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City | Olympia |
State | Washington (WA) |
Post Code | 985024541 |
Phone Number | 3607047276 |
Fax Number | 3607047277 |
Provider's Primary Taxonomy Detail
Speciality | Orthopedic |
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Taxonomy | 2251X0800X |
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 |
---|---|---|---|
7112923 | WA | -- |
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What is the unique identification code assigned to Pro-Active Sports Med Llc by the Centers for Medicare & Medicaid Services?
The Pro-Active Sports Med Llc has been issued the NPI (National Provider Identifier) 1538380639. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pro-Active Sports Med Llc located?
The Pro-Active Sports Med Llc is located at 2960 Limited Ln Nw, Olympia, WA 985024541.
What is Pro-Active Sports Med Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pro-Active Sports Med Llc is Orthopedic, and the taxonomy code that classifies this field of practice is 2251X0800X.
On what date did the Pro-Active Sports Med Llc receive the assignment of its 1538380639 from the Centers for Medicare & Medicaid Services?
The Pro-Active Sports Med Llc was issued its 1538380639 by the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the information pertaining to Pro-Active Sports Med Llc most recently updated or revised?
The details related to Pro-Active Sports Med Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-22.
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