Kent Lippert in Jacksonville Beach - Physical Therapy Assistant

Kent Lippert - NPI 1497879969

Kent Lippert is a Physical Therapy Assistant in Jacksonville Beach, Florida. Kent Lippert practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kent Lippert is 1497879969. The last update date is 2007-07-08.

Kent Lippert's current location address is 333 1st St N, Jacksonville Beach, Florida. You can contact this provider via phone number 8009205038. The mailing address for Kent Lippert is 333 1st St N, Jacksonville Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kent Lippert
Address 333 1st St N, Jacksonville Beach, Florida
Phone Number 8009205038
Fax Number
Sole Proprietor Y
Credentials PTA

NPI Number Detail

NPI Number 1497879969
Provider Enumeration Date 2007-03-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 333 1st St N
City Jacksonville Beach
State Florida (FL)
Post Code 322506945
Phone Number 8009205038
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 14121
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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FAQs about Kent Lippert

What is the Kent Lippert's unique identification number?

The Kent Lippert has been assigned the NPI (National Provider Identifier) Number 1497879969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kent Lippert is physically located?

The Kent Lippert is physically situated at the following address: 333 1St St N, Jacksonville Beach, FL, 322506945.

What is Kent Lippert's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kent Lippert's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1497879969 to Kent Lippert?

The Centers for Medicare & Medicaid Services originally issued the 1497879969 to Kent Lippert on 2007-03-19.

When was the information pertaining to Kent Lippert most recently updated or revised?

The details related to Kent Lippert, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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