Michael Raymond Childress in Tulsa - Physical Therapy Assistant

Michael Raymond Childress - NPI 1003019167

Michael Raymond Childress is a Physical Therapy Assistant in Tulsa, Oklahoma. Michael Raymond Childress practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Michael Raymond Childress is 1003019167. The last update date is 2007-07-08.

Michael Raymond Childress's current location address is 2408 E 81st St Ste 300, Tulsa, Oklahoma. You can contact this provider via phone number 9184775053 and fax number 9184775040. The mailing address for Michael Raymond Childress is 2408 E 81st St Ste 300, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Raymond Childress
Address 2408 E 81st St Ste 300, Tulsa, Oklahoma
Phone Number 9184775053
Fax Number 9184775040
Sole Proprietor N
Credentials RPTA

NPI Number Detail

NPI Number 1003019167
Provider Enumeration Date 2007-06-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2408 E 81st St Ste 300
City Tulsa
State Oklahoma (OK)
Post Code 741374200
Phone Number 9184775053
Fax Number 9184775040

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 770
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 Michael Raymond Childress

What is the unique 10-digit identifier code assigned to Michael Raymond Childress by the Centers for Medicare & Medicaid Services?

The Michael Raymond Childress has been issued the NPI (National Provider Identifier) 1003019167 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Michael Raymond Childress's physical address?

The Michael Raymond Childress is physically located at 2408 E 81St St Ste 300, in the city of Tulsa, OK, with the postal code 741374200.

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

The Michael Raymond Childress'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 Michael Raymond Childress receive its 1003019167 assignment from the Centers for Medicare & Medicaid Services?

The Michael Raymond Childress was assigned its 1003019167 by the Centers for Medicare & Medicaid Services on 2007-06-07.

When was the information regarding Michael Raymond Childress most recently updated?

The details pertaining to the Michael Raymond Childress, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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