Jaclyn L Dodd in Kimberly - Physical Therapy Assistant
Jaclyn L Dodd - NPI 1427225721
Jaclyn L Dodd is a Physical Therapy Assistant in Kimberly, Wisconsin. Jaclyn L Dodd practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jaclyn L Dodd is 1427225721. The last update date is 2019-03-14.
Jaclyn L Dodd's current location address is 204 S Helen St, Kimberly, Wisconsin. You can contact this provider via phone number 9208195503. The mailing address for Jaclyn L Dodd is 204 S Helen St, Kimberly, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn L Dodd |
|---|---|
| Address | 204 S Helen St, Kimberly, Wisconsin |
| Phone Number | 9208195503 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1427225721 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2019-03-14 |
Provider Mailing Address Detail
| Address | 204 S Helen St |
|---|---|
| City | Kimberly |
| State | Wisconsin (WI) |
| Post Code | 541361727 |
| Phone Number | 9208195503 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 1362-19 |
|
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 |
|---|---|---|---|
| 36139300 | WI | -- | |
| 1427225721 | WI | -- |
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What is the unique 10-digit identification code issued to Jaclyn L Dodd by the Centers for Medicare & Medicaid Services?
The Jaclyn L Dodd has been assigned the NPI (National Provider Identifier) 1427225721 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jaclyn L Dodd?
The Jaclyn L Dodd is physically situated at 204 S Helen St, in the city of Kimberly, state of WI, with the postal code 541361727.
What is the Jaclyn L Dodd's specialty and taxonomy code?
The Jaclyn L Dodd's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427225721 to Jaclyn L Dodd?
The Centers for Medicare & Medicaid Services originally issued the 1427225721 to Jaclyn L Dodd on 2008-05-15.
As of what date was the information pertaining to Jaclyn L Dodd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jaclyn L Dodd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-03-14.
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