Melissa Kay Kostreva in Lena - Physical Therapy Assistant
Melissa Kay Kostreva - NPI 1770782708
Melissa Kay Kostreva is a Physical Therapy Assistant in Lena, Wisconsin. Melissa Kay Kostreva practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Melissa Kay Kostreva is 1770782708. The last update date is 2007-07-11.
Melissa Kay Kostreva's current location address is 4935 Burg Road, Lena, Wisconsin. You can contact this provider via phone number 9208295739. The mailing address for Melissa Kay Kostreva is 4935 Burg Road, Lena, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Kay Kostreva |
|---|---|
| Address | 4935 Burg Road, Lena, Wisconsin |
| Phone Number | 9208295739 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1770782708 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 4935 Burg Road |
|---|---|
| City | Lena |
| State | Wisconsin (WI) |
| Post Code | 54139 |
| Phone Number | 9208295739 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 258019 |
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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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What is the unique identifier code issued to Melissa Kay Kostreva by the Centers for Medicare & Medicaid Services?
The Melissa Kay Kostreva has been assigned the NPI (National Provider Identifier) 1770782708. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Melissa Kay Kostreva located?
The Melissa Kay Kostreva is located at 4935 Burg Road, Lena, WI 54139.
What is the Melissa Kay Kostreva's specialty and taxonomy code?
The Melissa Kay Kostreva's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
When did the Melissa Kay Kostreva receive its 1770782708?
The Melissa Kay Kostreva was issued its 1770782708 on 2007-07-11, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Melissa Kay Kostreva, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Melissa Kay Kostreva, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-11.