Tracee Depriest in Glen Carbon - Physical Therapy Assistant

Tracee Depriest - NPI 1902929243

Tracee Depriest is a Physical Therapy Assistant in Glen Carbon, Illinois. Tracee Depriest practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Tracee Depriest is 1902929243. The last update date is 2007-07-08.

Tracee Depriest's current location address is 15 Junction Dr, Glen Carbon, Illinois. You can contact this provider via phone number 6186599666. The mailing address for Tracee Depriest is 15 Junction Dr, Glen Carbon, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracee Depriest
Address 15 Junction Dr, Glen Carbon, Illinois
Phone Number 6186599666
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1902929243
Provider Enumeration Date 2007-04-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15 Junction Dr
City Glen Carbon
State Illinois (IL)
Post Code 620344300
Phone Number 6186599666
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
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 Tracee Depriest

What is the unique identification code assigned to Tracee Depriest by the Centers for Medicare & Medicaid Services?

The Tracee Depriest has been issued the NPI (National Provider Identifier) 1902929243. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Tracee Depriest's facilities are geographically located?

The facilities of Tracee Depriest are physically situated at the following location: 15 Junction Dr, Glen Carbon, IL, 620344300.

What is Tracee Depriest's area of expertise and its corresponding taxonomy classification?

The Tracee Depriest's field of specialization is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Tracee Depriest receive the assignment of its 1902929243 from the Centers for Medicare & Medicaid Services?

The Tracee Depriest was issued its 1902929243 by the Centers for Medicare & Medicaid Services on 2007-04-10.

As of what date was the information pertaining to Tracee Depriest, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tracee Depriest, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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