Jean Wildtraut in Saint Cloud - Physical Therapy Assistant

Jean Wildtraut - NPI 1518127646

Jean Wildtraut is a Physical Therapy Assistant in Saint Cloud, Minnesota. Jean Wildtraut practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jean Wildtraut is 1518127646. The last update date is 2008-06-12.

Jean Wildtraut's current location address is 2835 W Saint Germain St, Saint Cloud, Minnesota. You can contact this provider via phone number 3202594151 and fax number 3202595707. The mailing address for Jean Wildtraut is 2835 W Saint Germain St, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jean Wildtraut
Address 2835 W Saint Germain St, Saint Cloud, Minnesota
Phone Number 3202594151
Fax Number 3202595707
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1518127646
Provider Enumeration Date 2008-06-12
Last Updated Date 2008-06-12

Provider Mailing Address Detail

Address 2835 W Saint Germain St
City Saint Cloud
State Minnesota (MN)
Post Code 563016280
Phone Number 3202594151
Fax Number 3202595707

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No A650
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 Jean Wildtraut

What is the unique identifier code issued to Jean Wildtraut by the Centers for Medicare & Medicaid Services?

The Jean Wildtraut has been assigned the NPI (National Provider Identifier) 1518127646. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jean Wildtraut is physically located?

The Jean Wildtraut is physically situated at the following address: 2835 W Saint Germain St, Saint Cloud, MN, 563016280.

What is Jean Wildtraut's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jean Wildtraut's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.

On what date was the 1518127646 assigned to Jean Wildtraut?

The Jean Wildtraut was issued its 1518127646 on 2008-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jean Wildtraut most recently updated or revised?

The details related to Jean Wildtraut, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-12.

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