Sharon A Kelley in Green Bay - Physical Therapy Assistant
Sharon A Kelley - NPI 1508054289
Sharon A Kelley is a Physical Therapy Assistant in Green Bay, Wisconsin. Sharon A Kelley practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Sharon A Kelley is 1508054289. The last update date is 2007-10-09.
Sharon A Kelley's current location address is 1630 Commanche Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204304746. The mailing address for Sharon A Kelley is 1630 Commanche Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon A Kelley |
|---|---|
| Address | 1630 Commanche Ave, Green Bay, Wisconsin |
| Phone Number | 9204304746 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1508054289 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2007-10-09 |
Provider Mailing Address Detail
| Address | 1630 Commanche Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543136089 |
| Phone Number | 9204304746 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 575-019 |
|
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 |
|---|---|---|---|
| 575-019 | WI | WISCONSIN LICENSE |
Post Comment/ Review Below
What is the Sharon A Kelley's 1508054289?
The Sharon A Kelley's NPI (National Provider Identifier) Number is 1508054289. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sharon A Kelley's physical address?
The Sharon A Kelley is physically located at 1630 Commanche Ave, in the city of Green Bay, WI, with the postal code 543136089.
What is the Sharon A Kelley's area of specialization and corresponding taxonomy classification?
The Sharon A Kelley'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 Sharon A Kelley receive its 1508054289 assignment from the Centers for Medicare & Medicaid Services?
The Sharon A Kelley was assigned its 1508054289 on 2007-10-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Sharon A Kelley's details last updated?
The information pertaining to the Sharon A Kelley, including its address, specialty, and other details, was most recently updated on 2007-10-09.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI