Roxanne Eliason in Green Bay - Physical Therapy Assistant
Roxanne Eliason - NPI 1043482714
Roxanne Eliason is a Physical Therapy Assistant in Green Bay, Wisconsin. Roxanne Eliason practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Roxanne Eliason is 1043482714. The last update date is 2008-04-17.
Roxanne Eliason's current location address is 600 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204323213. The mailing address for Roxanne Eliason is 600 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roxanne Eliason |
|---|---|
| Address | 600 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9204323213 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1043482714 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2008-04-17 |
Provider Mailing Address Detail
| Address | 600 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543013503 |
| Phone Number | 9204323213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 1121-19 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40438800 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Roxanne Eliason?
The Roxanne Eliason has been issued the NPI (National Provider Identifier) 1043482714 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Roxanne Eliason's physical address?
The Roxanne Eliason is physically located at 600 S Webster Ave, in the city of Green Bay, WI, with the postal code 543013503.
What is Roxanne Eliason's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Roxanne Eliason is Physical Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 225200000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043482714 to Roxanne Eliason?
The Centers for Medicare & Medicaid Services assigned the 1043482714 to Roxanne Eliason on 2008-04-02.
As of what date was the information regarding Roxanne Eliason, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roxanne Eliason, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-17.