Jacqueline Dawn Shepard in Brandon - Physical Therapy Assistant
Jacqueline Dawn Shepard - NPI 1649380817
Jacqueline Dawn Shepard is a Physical Therapy Assistant in Brandon, Florida. Jacqueline Dawn Shepard practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jacqueline Dawn Shepard is 1649380817. The last update date is 2007-07-08.
Jacqueline Dawn Shepard's current location address is 206 Ridgewood Ave, Brandon, Florida. You can contact this provider via phone number 8136621060. The mailing address for Jacqueline Dawn Shepard is 206 Ridgewood Ave, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Dawn Shepard |
|---|---|
| Address | 206 Ridgewood Ave, Brandon, Florida |
| Phone Number | 8136621060 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1649380817 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 206 Ridgewood Ave |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335104617 |
| Phone Number | 8136621060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA 19942 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jacqueline Dawn Shepard by the Centers for Medicare & Medicaid Services?
The Jacqueline Dawn Shepard has been issued the NPI (National Provider Identifier) 1649380817, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jacqueline Dawn Shepard's physical address?
The Jacqueline Dawn Shepard is physically located at 206 Ridgewood Ave, in the city of Brandon, FL, with the postal code 335104617.
What is Jacqueline Dawn Shepard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacqueline Dawn Shepard's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.
When did the Jacqueline Dawn Shepard receive its 1649380817?
The Jacqueline Dawn Shepard was issued its 1649380817 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
When was the information related to Jacqueline Dawn Shepard most recently updated or refreshed?
The details pertaining to the Jacqueline Dawn Shepard, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.