Brian Lee Stoll in Jasper - Physical Therapy Assistant

Brian Lee Stoll - NPI 1023148327

Brian Lee Stoll is a Physical Therapy Assistant in Jasper, Indiana. Brian Lee Stoll practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Brian Lee Stoll is 1023148327. The last update date is 2007-07-08.

Brian Lee Stoll's current location address is 1900 Saint Charles St, Jasper, Indiana. You can contact this provider via phone number 8126341211 and fax number 8126341582. The mailing address for Brian Lee Stoll is 1900 Saint Charles St, Jasper, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Lee Stoll
Address 1900 Saint Charles St, Jasper, Indiana
Phone Number 8126341211
Fax Number 8126341582
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1023148327
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1900 Saint Charles St
City Jasper
State Indiana (IN)
Post Code 475469145
Phone Number 8126341211
Fax Number 8126341582

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 06001403A
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
06001403A IN INDIANA STATE LICENSE

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FAQs about Brian Lee Stoll

What is the unique 10-digit identification code assigned to Brian Lee Stoll by the Centers for Medicare & Medicaid Services?

The Brian Lee Stoll has been issued the NPI (National Provider Identifier) 1023148327, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Brian Lee Stoll located?

The Brian Lee Stoll is located at 1900 Saint Charles St, Jasper, IN 475469145.

What is Brian Lee Stoll's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Brian Lee Stoll is Physical Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 225200000X.

On what date did the Brian Lee Stoll receive its 1023148327 assignment from the Centers for Medicare & Medicaid Services?

The Brian Lee Stoll was assigned its 1023148327 by the Centers for Medicare & Medicaid Services on 2007-03-06.

As of what date were the Brian Lee Stoll's details last updated?

The information pertaining to the Brian Lee Stoll, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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