Mary Beth Jacobson in North Freedom - Physical Therapy Assistant
Mary Beth Jacobson - NPI 1992817928
Mary Beth Jacobson is a Physical Therapy Assistant in North Freedom, Wisconsin. Mary Beth Jacobson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Mary Beth Jacobson is 1992817928. The last update date is 2007-07-08.
Mary Beth Jacobson's current location address is E11016a Groth Rd, North Freedom, Wisconsin. You can contact this provider via phone number 6086449082. The mailing address for Mary Beth Jacobson is E11016a Groth Rd, North Freedom, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Beth Jacobson |
|---|---|
| Address | E11016a Groth Rd, North Freedom, Wisconsin |
| Phone Number | 6086449082 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1992817928 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | E11016a Groth Rd |
|---|---|
| City | North Freedom |
| State | Wisconsin (WI) |
| Post Code | 539519727 |
| Phone Number | 6086449082 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | #681-019 |
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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 identifier code issued to Mary Beth Jacobson by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Beth Jacobson has been assigned the NPI (National Provider Identifier) 1992817928. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mary Beth Jacobson's facilities are situated?
The facilities of Mary Beth Jacobson are physically located at the following address: E11016A Groth Rd, North Freedom, WI, 539519727.
What is Mary Beth Jacobson'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 Mary Beth Jacobson is Physical Therapy Assistant, and the taxonomy classification code that categorizes this area of expertise is 225200000X.
When did Mary Beth Jacobson receive its 1992817928 assignment?
The Mary Beth Jacobson was assigned its 1992817928 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date were the Mary Beth Jacobson's details last updated?
The information pertaining to the Mary Beth Jacobson, including its address, specialty, and other details, was most recently updated on 2007-07-08.