Stephen Cornelison in Columbia - Physical Therapy Assistant

Stephen Cornelison - NPI 1194944629

Stephen Cornelison is a Physical Therapy Assistant in Columbia, Missouri. Stephen Cornelison practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Stephen Cornelison is 1194944629. The last update date is 2008-05-22.

Stephen Cornelison's current location address is 1501 Tidewater Dr, Columbia, Missouri. You can contact this provider via phone number 5734892714. The mailing address for Stephen Cornelison is 1501 Tidewater Dr, Columbia, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Cornelison
Address 1501 Tidewater Dr, Columbia, Missouri
Phone Number 5734892714
Fax Number
Sole Proprietor Y
Credentials PTA

NPI Number Detail

NPI Number 1194944629
Provider Enumeration Date 2007-04-24
Last Updated Date 2008-05-22

Provider Mailing Address Detail

Address 1501 Tidewater Dr
City Columbia
State Missouri (MO)
Post Code 652026425
Phone Number 5734892714
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2001015505
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 Stephen Cornelison

What is the Stephen Cornelison's 1194944629?

The Stephen Cornelison's NPI (National Provider Identifier) Number is 1194944629. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Stephen Cornelison located?

The Stephen Cornelison is located at 1501 Tidewater Dr, Columbia, MO 652026425.

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

The Stephen Cornelison'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 did the Stephen Cornelison receive its 1194944629 assignment from the Centers for Medicare & Medicaid Services?

The Stephen Cornelison was assigned its 1194944629 by the Centers for Medicare & Medicaid Services on 2007-04-24.

As of what date was the information pertaining to Stephen Cornelison, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stephen Cornelison, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-22.

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