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 |
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Address | 316 E 14th St, Kaukauna, Wisconsin |
Phone Number | 9207666020 |
Fax Number | 9207591937 |
Sole Proprietor | Y |
Credentials | PTA |
NPI Number Detail
NPI Number | 1205961133 |
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Provider Enumeration Date | 2007-02-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 316 E 14th St |
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City | Kaukauna |
State | Wisconsin (WI) |
Post Code | 541303304 |
Phone Number | 9207666020 |
Fax Number | 9207591937 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapy Assistant |
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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 |
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40281500 | WI | -- | |
146-019 | WI | PHYSICAL THERAPIST ASSIST |
Post Comment/ Review Below
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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