Shadrack E Spears in Portage - Physical Therapy Assistant
Shadrack E Spears - NPI 1366635559
Shadrack E Spears is a Physical Therapy Assistant in Portage, Michigan. Shadrack E Spears practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Shadrack E Spears is 1366635559. The last update date is 2007-08-22.
Shadrack E Spears's current location address is 4126 Lum St, Portage, Michigan. You can contact this provider via phone number 2693234300 and fax number 2693234449. The mailing address for Shadrack E Spears is 4126 Lum St, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shadrack E Spears |
|---|---|
| Address | 4126 Lum St, Portage, Michigan |
| Phone Number | 2693234300 |
| Fax Number | 2693234449 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1366635559 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 4126 Lum St |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490026526 |
| Phone Number | 2693234300 |
| Fax Number | 2693234449 |
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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Shadrack E Spears by the Centers for Medicare & Medicaid Services?
The Shadrack E Spears has been assigned the NPI (National Provider Identifier) 1366635559 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Shadrack E Spears?
The Shadrack E Spears is situated at 4126 Lum St, in the city of Portage, state of MI, with the zip code 490026526.
What is the Shadrack E Spears's specialty and taxonomy code?
The Shadrack E Spears's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
On what date did Shadrack E Spears receive its 1366635559 assignment from the Centers for Medicare & Medicaid Services?
The Shadrack E Spears was assigned its 1366635559 on 2007-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Shadrack E Spears, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shadrack E Spears, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-22.
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