Kathi Ellison Debaker in Green Bay - Physical Therapy Assistant
Kathi Ellison Debaker - NPI 1508039041
Kathi Ellison Debaker is a Physical Therapy Assistant in Green Bay, Wisconsin. Kathi Ellison Debaker practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kathi Ellison Debaker is 1508039041. The last update date is 2008-04-04.
Kathi Ellison Debaker's current location address is 1555 Dousman St, Green Bay, Wisconsin. You can contact this provider via phone number 9204944525 and fax number 9204946887. The mailing address for Kathi Ellison Debaker is 1555 Dousman St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathi Ellison Debaker |
|---|---|
| Address | 1555 Dousman St, Green Bay, Wisconsin |
| Phone Number | 9204944525 |
| Fax Number | 9204946887 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1508039041 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
| Address | 1555 Dousman St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543033207 |
| Phone Number | 9204944525 |
| Fax Number | 9204946887 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
|
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 |
|---|---|---|---|
| 36137800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kathi Ellison Debaker by the Centers for Medicare & Medicaid Services?
The Kathi Ellison Debaker has been issued the NPI (National Provider Identifier) 1508039041 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kathi Ellison Debaker?
The Kathi Ellison Debaker is physically situated at 1555 Dousman St, in the city of Green Bay, state of WI, with the postal code 543033207.
What is the Kathi Ellison Debaker's area of specialization and corresponding taxonomy classification?
The Kathi Ellison Debaker's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1508039041 to Kathi Ellison Debaker?
The Centers for Medicare & Medicaid Services assigned the 1508039041 to Kathi Ellison Debaker on 2008-04-04.
When was the information regarding Kathi Ellison Debaker most recently updated?
The details pertaining to the Kathi Ellison Debaker, including its address, specialty, and other relevant information, were last refreshed on 2008-04-04.
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