Wallace Kent Smith in Glenview - Physical Therapy Assistant

Wallace Kent Smith - NPI 1134393010

Wallace Kent Smith is a Physical Therapy Assistant in Glenview, Illinois. Wallace Kent Smith practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Wallace Kent Smith is 1134393010. The last update date is 2008-04-22.

Wallace Kent Smith's current location address is 3703 W Lake Ave, Glenview, Illinois. You can contact this provider via phone number 8479981188. The mailing address for Wallace Kent Smith is 3703 W Lake Ave, Glenview, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Wallace Kent Smith
Address 3703 W Lake Ave, Glenview, Illinois
Phone Number 8479981188
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1134393010
Provider Enumeration Date 2008-04-22
Last Updated Date 2008-04-22

Provider Mailing Address Detail

Address 3703 W Lake Ave
City Glenview
State Illinois (IL)
Post Code 600265823
Phone Number 8479981188
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 160.000336
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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FAQs about Wallace Kent Smith

What is the unique 10-digit identification code issued to Wallace Kent Smith by the Centers for Medicare & Medicaid Services?

The Wallace Kent Smith has been assigned the NPI (National Provider Identifier) 1134393010 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Wallace Kent Smith is located?

The Wallace Kent Smith is situated at the following address: 3703 W Lake Ave, Glenview, IL, 600265823.

What is the Wallace Kent Smith's area of specialization and corresponding taxonomy classification?

The Wallace Kent Smith's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1134393010 to Wallace Kent Smith?

The Centers for Medicare & Medicaid Services assigned the 1134393010 to Wallace Kent Smith on 2008-04-22.

When was the information related to Wallace Kent Smith most recently updated or refreshed?

The details pertaining to the Wallace Kent Smith, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-22.

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