Jennifer Lynn Stelow in Kaukauna - Physical Therapy Assistant

Jennifer Lynn Stelow - NPI 1205961133

Jennifer Lynn Stelow is a Physical Therapy Assistant in Kaukauna, Wisconsin. Jennifer Lynn Stelow practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jennifer Lynn Stelow is 1205961133. The last update date is 2007-07-08.

Jennifer Lynn Stelow's current location address is 316 E 14th St, Kaukauna, Wisconsin. You can contact this provider via phone number 9207666020 and fax number 9207591937. The mailing address for Jennifer Lynn Stelow is 316 E 14th St, Kaukauna, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Lynn Stelow
Address 316 E 14th St, Kaukauna, Wisconsin
Phone Number 9207666020
Fax Number 9207591937
Sole Proprietor Y
Credentials PTA

NPI Number Detail

NPI Number 1205961133
Provider Enumeration Date 2007-02-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 316 E 14th St
City Kaukauna
State Wisconsin (WI)
Post Code 541303304
Phone Number 9207666020
Fax Number 9207591937

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 146-019
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
40281500 WI --
146-019 WI PHYSICAL THERAPIST ASSIST

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FAQs about Jennifer Lynn Stelow

What is the unique 10-digit identification code assigned to Jennifer Lynn Stelow by the Centers for Medicare & Medicaid Services?

The Jennifer Lynn Stelow has been issued the NPI (National Provider Identifier) 1205961133, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jennifer Lynn Stelow is located?

The Jennifer Lynn Stelow is situated at the following address: 316 E 14Th St, Kaukauna, WI, 541303304.

What is Jennifer Lynn Stelow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jennifer Lynn Stelow is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.

On what date did the Jennifer Lynn Stelow receive the assignment of its 1205961133 from the Centers for Medicare & Medicaid Services?

The Jennifer Lynn Stelow was issued its 1205961133 by the Centers for Medicare & Medicaid Services on 2007-02-22.

As of what date were the Jennifer Lynn Stelow's details last updated?

The information pertaining to the Jennifer Lynn Stelow, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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