Shannon Rae Balthazr in Bristol - Physical Therapy Assistant
Shannon Rae Balthazr - NPI 1891869186
Shannon Rae Balthazr is a Physical Therapy Assistant in Bristol, Tennessee. Shannon Rae Balthazr practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Shannon Rae Balthazr is 1891869186. The last update date is 2007-07-08.
Shannon Rae Balthazr's current location address is 1 Medical Park Blvd, Bristol, Tennessee. You can contact this provider via phone number 4238444104. The mailing address for Shannon Rae Balthazr is 1 Medical Park Blvd, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Rae Balthazr |
|---|---|
| Address | 1 Medical Park Blvd, Bristol, Tennessee |
| Phone Number | 4238444104 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1891869186 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Medical Park Blvd |
|---|---|
| City | Bristol |
| State | Tennessee (TN) |
| Post Code | 376207430 |
| Phone Number | 4238444104 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 3766 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Shannon Rae Balthazr by the Centers for Medicare & Medicaid Services (CMS)?
The Shannon Rae Balthazr has been assigned the NPI (National Provider Identifier) 1891869186. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Shannon Rae Balthazr's facilities are situated?
The facilities of Shannon Rae Balthazr are physically located at the following address: 1 Medical Park Blvd, Bristol, TN, 376207430.
What is Shannon Rae Balthazr's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon Rae Balthazr is Physical Therapy Assistant, and the taxonomy code that classifies this field of practice is 225200000X.
On what date did Shannon Rae Balthazr receive its 1891869186 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Rae Balthazr was assigned its 1891869186 on 2006-11-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Shannon Rae Balthazr, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon Rae Balthazr, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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