Kris Desotelle in Brookfield - Physical Therapy Assistant
Kris Desotelle - NPI 1457442899
Kris Desotelle is a Physical Therapy Assistant in Brookfield, Wisconsin. Kris Desotelle practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kris Desotelle is 1457442899. The last update date is 2007-07-08.
Kris Desotelle's current location address is 17280 W North Ave, Brookfield, Wisconsin. You can contact this provider via phone number 2627800707 and fax number 2627800717. The mailing address for Kris Desotelle is 17280 W North Ave, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kris Desotelle |
|---|---|
| Address | 17280 W North Ave, Brookfield, Wisconsin |
| Phone Number | 2627800707 |
| Fax Number | 2627800717 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1457442899 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17280 W North Ave |
|---|---|
| City | Brookfield |
| State | Wisconsin (WI) |
| Post Code | 530454366 |
| Phone Number | 2627800707 |
| Fax Number | 2627800717 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 1323 |
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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 10-digit identifier code assigned to Kris Desotelle by the Centers for Medicare & Medicaid Services?
The Kris Desotelle has been issued the NPI (National Provider Identifier) 1457442899 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kris Desotelle is located?
The Kris Desotelle is situated at the following address: 17280 W North Ave, Brookfield, WI, 530454366.
What is the Kris Desotelle's specialty and taxonomy code?
The Kris Desotelle's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
On what date did the Kris Desotelle receive its 1457442899 assignment from the Centers for Medicare & Medicaid Services?
The Kris Desotelle was assigned its 1457442899 by the Centers for Medicare & Medicaid Services on 2006-09-28.
As of what date was the information pertaining to Kris Desotelle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kris Desotelle, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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