Traci Lauder in Portage - Physical Therapy Assistant
Traci Lauder - NPI 1265631220
Traci Lauder is a Physical Therapy Assistant in Portage, Indiana. Traci Lauder practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Traci Lauder is 1265631220. The last update date is 2007-07-11.
Traci Lauder's current location address is 6040 Lute Rd, Portage, Indiana. You can contact this provider via phone number 2197636858. The mailing address for Traci Lauder is 6040 Lute Rd, Portage, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci Lauder |
|---|---|
| Address | 6040 Lute Rd, Portage, Indiana |
| Phone Number | 2197636858 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265631220 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 6040 Lute Rd |
|---|---|
| City | Portage |
| State | Indiana (IN) |
| Post Code | 463685008 |
| Phone Number | 2197636858 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 06002130A |
|
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 identification code assigned to Traci Lauder by the Centers for Medicare & Medicaid Services?
The Traci Lauder has been issued the NPI (National Provider Identifier) 1265631220. 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 Traci Lauder's facilities are geographically located?
The facilities of Traci Lauder are physically situated at the following location: 6040 Lute Rd, Portage, IN, 463685008.
What is the Traci Lauder's specialty and taxonomy code?
The Traci Lauder's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265631220 to Traci Lauder?
The Centers for Medicare & Medicaid Services originally issued the 1265631220 to Traci Lauder on 2007-07-11.
When was the information regarding Traci Lauder, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Traci Lauder, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-11.
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