Mickey Charles Wasson in Northville - Physical Therapy Assistant
Mickey Charles Wasson - NPI 1770608416
Mickey Charles Wasson is a Physical Therapy Assistant in Northville, Michigan. Mickey Charles Wasson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Mickey Charles Wasson is 1770608416. The last update date is 2007-07-08.
Mickey Charles Wasson's current location address is 20123 Northville Place Dr, Northville, Michigan. You can contact this provider via phone number 9896571007 and fax number 2696512486. The mailing address for Mickey Charles Wasson is 20123 Northville Place Dr, Northville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mickey Charles Wasson |
|---|---|
| Address | 20123 Northville Place Dr, Northville, Michigan |
| Phone Number | 9896571007 |
| Fax Number | 2696512486 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1770608416 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20123 Northville Place Dr |
|---|---|
| City | Northville |
| State | Michigan (MI) |
| Post Code | 481672985 |
| Phone Number | 9896571007 |
| Fax Number | 2696512486 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
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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 Mickey Charles Wasson by the Centers for Medicare & Medicaid Services?
The Mickey Charles Wasson has been issued the NPI (National Provider Identifier) 1770608416, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mickey Charles Wasson?
The Mickey Charles Wasson is physically situated at 20123 Northville Place Dr, in the city of Northville, state of MI, with the postal code 481672985.
What is Mickey Charles Wasson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mickey Charles Wasson is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.
On what date did the Mickey Charles Wasson receive its 1770608416 assignment from the Centers for Medicare & Medicaid Services?
The Mickey Charles Wasson was assigned its 1770608416 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information pertaining to Mickey Charles Wasson most recently updated or revised?
The details related to Mickey Charles Wasson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1225026222
Address: 300 Twining St Bldg 760, Maxwell Afb, AL