Connie J Blackwell in Kenosha - Physical Therapy Assistant
Connie J Blackwell - NPI 1699823542
Connie J Blackwell is a Physical Therapy Assistant in Kenosha, Wisconsin. Connie J Blackwell practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Connie J Blackwell is 1699823542. The last update date is 2008-04-08.
Connie J Blackwell's current location address is 5616 42nd Ave, Kenosha, Wisconsin. You can contact this provider via phone number 2627644500. The mailing address for Connie J Blackwell is 5616 42nd Ave, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie J Blackwell |
|---|---|
| Address | 5616 42nd Ave, Kenosha, Wisconsin |
| Phone Number | 2627644500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1699823542 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2008-04-08 |
Provider Mailing Address Detail
| Address | 5616 42nd Ave |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531442530 |
| Phone Number | 2627644500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 1326-019 |
|
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 |
|---|---|---|---|
| 36122800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Connie J Blackwell by the Centers for Medicare & Medicaid Services?
The Connie J Blackwell has been assigned the NPI (National Provider Identifier) 1699823542 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Connie J Blackwell's facilities are situated?
The facilities of Connie J Blackwell are physically located at the following address: 5616 42Nd Ave, Kenosha, WI, 531442530.
What is Connie J Blackwell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Connie J Blackwell is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.
On what date did the Connie J Blackwell receive its 1699823542 assignment from the Centers for Medicare & Medicaid Services?
The Connie J Blackwell was assigned its 1699823542 by the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information related to Connie J Blackwell most recently updated or refreshed?
The details pertaining to the Connie J Blackwell, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-08.
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