Kimberly L Slack in Milwaukee - Physical Therapy Assistant
Kimberly L Slack - NPI 1245278167
Kimberly L Slack is a Physical Therapy Assistant in Milwaukee, Wisconsin. Kimberly L Slack practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kimberly L Slack is 1245278167. The last update date is 2007-07-08.
Kimberly L Slack's current location address is 2323 N Lake Dr, Milwaukee, Wisconsin. You can contact this provider via phone number 4142911066 and fax number 4142911077. The mailing address for Kimberly L Slack is 2323 N Lake Dr, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly L Slack |
|---|---|
| Address | 2323 N Lake Dr, Milwaukee, Wisconsin |
| Phone Number | 4142911066 |
| Fax Number | 4142911077 |
| Sole Proprietor | X |
| Credentials | P.T.A. |
NPI Number Detail
| NPI Number | 1245278167 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2323 N Lake Dr |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532114508 |
| Phone Number | 4142911066 |
| Fax Number | 4142911077 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 890019 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kimberly L Slack by the Centers for Medicare & Medicaid Services?
The Kimberly L Slack has been issued the NPI (National Provider Identifier) 1245278167, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kimberly L Slack is geographically located?
The Kimberly L Slack is physically situated at the following location: 2323 N Lake Dr, Milwaukee, WI, 532114508.
What is Kimberly L Slack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kimberly L Slack is Physical Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 225200000X.
When was the Kimberly L Slack's 1245278167 issued?
The Kimberly L Slack's 1245278167 was issued on 2006-06-03.
As of what date was the information regarding Kimberly L Slack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly L Slack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.