Kelly J Malmquist in Green Bay - Physical Therapy Assistant
Kelly J Malmquist - NPI 1609922665
Kelly J Malmquist is a Physical Therapy Assistant in Green Bay, Wisconsin. Kelly J Malmquist practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kelly J Malmquist is 1609922665. The last update date is 2012-04-23.
Kelly J Malmquist's current location address is 1040 Pilgrim Way, Green Bay, Wisconsin. You can contact this provider via phone number 9204053522 and fax number 9204053523. The mailing address for Kelly J Malmquist is 1040 Pilgrim Way, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly J Malmquist |
|---|---|
| Address | 1040 Pilgrim Way, Green Bay, Wisconsin |
| Phone Number | 9204053522 |
| Fax Number | 9204053523 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1609922665 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2012-04-23 |
Provider Mailing Address Detail
| Address | 1040 Pilgrim Way |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543045028 |
| Phone Number | 9204053522 |
| Fax Number | 9204053523 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 1321019 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36120300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly J Malmquist by the Centers for Medicare & Medicaid Services?
The Kelly J Malmquist has been issued the NPI (National Provider Identifier) 1609922665 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kelly J Malmquist?
The Kelly J Malmquist is situated at 1040 Pilgrim Way, in the city of Green Bay, state of WI, with the zip code 543045028.
What is Kelly J Malmquist's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly J Malmquist is Physical Therapy Assistant, and the taxonomy code that classifies this field of practice is 225200000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609922665 to Kelly J Malmquist?
The Centers for Medicare & Medicaid Services assigned the 1609922665 to Kelly J Malmquist on 2007-01-25.
As of what date was the information pertaining to Kelly J Malmquist, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kelly J Malmquist, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-23.