Dara Ledbetter in Plymouth - Physical Therapy Assistant
Dara Ledbetter - NPI 1750500872
Dara Ledbetter is a Physical Therapy Assistant in Plymouth, Wisconsin. Dara Ledbetter practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Dara Ledbetter is 1750500872. The last update date is 2009-10-07.
Dara Ledbetter's current location address is 2600 Kiley Way, Plymouth, Wisconsin. You can contact this provider via phone number 9204497000 and fax number 9204497201. The mailing address for Dara Ledbetter is 2600 Kiley Way, Plymouth, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dara Ledbetter |
|---|---|
| Address | 2600 Kiley Way, Plymouth, Wisconsin |
| Phone Number | 9204497000 |
| Fax Number | 9204497201 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1750500872 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2009-10-07 |
Provider Mailing Address Detail
| Address | 2600 Kiley Way |
|---|---|
| City | Plymouth |
| State | Wisconsin (WI) |
| Post Code | 530735020 |
| Phone Number | 9204497000 |
| Fax Number | 9204497201 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 583-019 |
|
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 |
|---|---|---|---|
| 40451600 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Dara Ledbetter by the Centers for Medicare & Medicaid Services?
The Dara Ledbetter has been issued the NPI (National Provider Identifier) 1750500872. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dara Ledbetter's facilities are situated?
The facilities of Dara Ledbetter are physically located at the following address: 2600 Kiley Way, Plymouth, WI, 530735020.
What is Dara Ledbetter's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dara Ledbetter is Physical Therapy Assistant, and the taxonomy code that classifies this field of practice is 225200000X.
On what date did the Dara Ledbetter receive the assignment of its 1750500872 from the Centers for Medicare & Medicaid Services?
The Dara Ledbetter was issued its 1750500872 by the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the Dara Ledbetter's information last updated?
The Dara Ledbetter's information was last updated on 2009-10-07.