Wendy Dawn Isom in Goldsby - Physical Therapy Assistant
Wendy Dawn Isom - NPI 1619193711
Wendy Dawn Isom is a Physical Therapy Assistant in Goldsby, Oklahoma. Wendy Dawn Isom practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Wendy Dawn Isom is 1619193711. The last update date is 2007-07-08.
Wendy Dawn Isom's current location address is 221 Blake Blvd, Goldsby, Oklahoma. You can contact this provider via phone number 4052880118. The mailing address for Wendy Dawn Isom is 221 Blake Blvd, Goldsby, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy Dawn Isom |
|---|---|
| Address | 221 Blake Blvd, Goldsby, Oklahoma |
| Phone Number | 4052880118 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1619193711 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 221 Blake Blvd |
|---|---|
| City | Goldsby |
| State | Oklahoma (OK) |
| Post Code | 730931003 |
| Phone Number | 4052880118 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 1055 |
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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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What is the Wendy Dawn Isom's unique identification number?
The Wendy Dawn Isom has been assigned the NPI (National Provider Identifier) Number 1619193711 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Wendy Dawn Isom's facilities are situated?
The facilities of Wendy Dawn Isom are physically located at the following address: 221 Blake Blvd, Goldsby, OK, 730931003.
What is Wendy Dawn Isom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wendy Dawn Isom's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619193711 to Wendy Dawn Isom?
The Centers for Medicare & Medicaid Services originally issued the 1619193711 to Wendy Dawn Isom on 2007-04-17.
As of what date were the Wendy Dawn Isom's details last updated?
The information pertaining to the Wendy Dawn Isom, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH