Mary A Kodak in Coeur D Alene - Physical Therapy Assistant
Mary A Kodak - NPI 1427216928
Mary A Kodak is a Physical Therapy Assistant in Coeur D Alene, Idaho. Mary A Kodak practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Mary A Kodak is 1427216928. The last update date is 2008-05-30.
Mary A Kodak's current location address is 500 W Aqua Ave, Coeur D Alene, Idaho. You can contact this provider via phone number 2087621122 and fax number 2087621680. The mailing address for Mary A Kodak is 500 W Aqua Ave, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary A Kodak |
|---|---|
| Address | 500 W Aqua Ave, Coeur D Alene, Idaho |
| Phone Number | 2087621122 |
| Fax Number | 2087621680 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1427216928 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 500 W Aqua Ave |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 838157764 |
| Phone Number | 2087621122 |
| Fax Number | 2087621680 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA 0313 |
|
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 provider identifier assigned to Mary A Kodak?
The Mary A Kodak has been issued the NPI (National Provider Identifier) 1427216928 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Mary A Kodak is physically located?
The Mary A Kodak is physically situated at the following address: 500 W Aqua Ave, Coeur D Alene, ID, 838157764.
What is the Mary A Kodak's specialty and taxonomy code?
The Mary A Kodak's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427216928 to Mary A Kodak?
The Centers for Medicare & Medicaid Services originally issued the 1427216928 to Mary A Kodak on 2008-05-30.
When was the information related to Mary A Kodak most recently updated or refreshed?
The details pertaining to the Mary A Kodak, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-05-30.
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