Tracy Lynn Van De Yacht in Green Bay - Physical Therapy Assistant
Tracy Lynn Van De Yacht - NPI 1710076716
Tracy Lynn Van De Yacht is a Physical Therapy Assistant in Green Bay, Wisconsin. Tracy Lynn Van De Yacht practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Tracy Lynn Van De Yacht is 1710076716. The last update date is 2007-07-08.
Tracy Lynn Van De Yacht's current location address is 2900 Curry Ln, Green Bay, Wisconsin. You can contact this provider via phone number 9204689129 and fax number 9209652653. The mailing address for Tracy Lynn Van De Yacht is 2900 Curry Ln, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lynn Van De Yacht |
|---|---|
| Address | 2900 Curry Ln, Green Bay, Wisconsin |
| Phone Number | 9204689129 |
| Fax Number | 9209652653 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1710076716 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2900 Curry Ln |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543115857 |
| Phone Number | 9204689129 |
| Fax Number | 9209652653 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 901-019 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40331900 | WI | -- |
Post Comment/ Review Below
What is the Tracy Lynn Van De Yacht's 1710076716?
The Tracy Lynn Van De Yacht's NPI (National Provider Identifier) Number is 1710076716. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tracy Lynn Van De Yacht's facilities are situated?
The facilities of Tracy Lynn Van De Yacht are physically located at the following address: 2900 Curry Ln, Green Bay, WI, 543115857.
What is Tracy Lynn Van De Yacht's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tracy Lynn Van De Yacht is Physical Therapy Assistant, and the taxonomy code that classifies this field of practice is 225200000X.
When did Tracy Lynn Van De Yacht receive its 1710076716 assignment?
The Tracy Lynn Van De Yacht was assigned its 1710076716 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
When was the information related to Tracy Lynn Van De Yacht most recently updated or refreshed?
The details pertaining to the Tracy Lynn Van De Yacht, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.