Jimma Lanelle Lake in Richland - Physical Therapy Assistant
Jimma Lanelle Lake - NPI 1992900336
Jimma Lanelle Lake is a Physical Therapy Assistant in Richland, Texas. Jimma Lanelle Lake practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jimma Lanelle Lake is 1992900336. The last update date is 2007-07-08.
Jimma Lanelle Lake's current location address is Po Box 81, Richland, Texas. You can contact this provider via phone number 9033624012 and fax number 9033624012. The mailing address for Jimma Lanelle Lake is Po Box 81, Richland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimma Lanelle Lake |
|---|---|
| Address | Po Box 81, Richland, Texas |
| Phone Number | 9033624012 |
| Fax Number | 9033624012 |
| Sole Proprietor | Y |
| Credentials | LPTA |
NPI Number Detail
| NPI Number | 1992900336 |
|---|---|
| Provider Enumeration Date | 2007-06-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 81 |
|---|---|
| City | Richland |
| State | Texas (TX) |
| Post Code | 766810081 |
| Phone Number | 9033624012 |
| Fax Number | 9033624012 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 2012555 |
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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 unique 10-digit identifier code assigned to Jimma Lanelle Lake by the Centers for Medicare & Medicaid Services?
The Jimma Lanelle Lake has been issued the NPI (National Provider Identifier) 1992900336 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jimma Lanelle Lake located?
The Jimma Lanelle Lake is located at Po Box 81, Richland, TX 766810081.
What is Jimma Lanelle Lake's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jimma Lanelle Lake is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.
On what date was the 1992900336 assigned to Jimma Lanelle Lake?
The Jimma Lanelle Lake was issued its 1992900336 on 2007-06-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jimma Lanelle Lake most recently updated or revised?
The information pertaining to Jimma Lanelle Lake, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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