Kathleen Ann Illig in Memphis - Physical Therapy Assistant

Kathleen Ann Illig - NPI 1750458394

Kathleen Ann Illig is a Physical Therapy Assistant in Memphis, Tennessee. Kathleen Ann Illig practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kathleen Ann Illig is 1750458394. The last update date is 2007-07-08.

Kathleen Ann Illig's current location address is 6655 Quince Rd Ste 101, Memphis, Tennessee. You can contact this provider via phone number 9017559988 and fax number 9017552233. The mailing address for Kathleen Ann Illig is 6655 Quince Rd Ste 101, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Ann Illig
Address 6655 Quince Rd Ste 101, Memphis, Tennessee
Phone Number 9017559988
Fax Number 9017552233
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1750458394
Provider Enumeration Date 2006-11-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6655 Quince Rd Ste 101
City Memphis
State Tennessee (TN)
Post Code 381198031
Phone Number 9017559988
Fax Number 9017552233

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA 00000034
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3077388 TN BCBS PROVIDER NUMBER

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FAQs about Kathleen Ann Illig

What is the unique 10-digit identification code assigned to Kathleen Ann Illig by the Centers for Medicare & Medicaid Services?

The Kathleen Ann Illig has been issued the NPI (National Provider Identifier) 1750458394, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kathleen Ann Illig is located?

The Kathleen Ann Illig is situated at the following address: 6655 Quince Rd Ste 101, Memphis, TN, 381198031.

What is Kathleen Ann Illig's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kathleen Ann Illig is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.

On what date did the Kathleen Ann Illig receive its 1750458394 assignment from the Centers for Medicare & Medicaid Services?

The Kathleen Ann Illig was assigned its 1750458394 by the Centers for Medicare & Medicaid Services on 2006-11-29.

When was the information regarding Kathleen Ann Illig most recently updated?

The details pertaining to the Kathleen Ann Illig, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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