Lacrisha Nicole Wheeler in Rockford - Physical Therapy Assistant
Lacrisha Nicole Wheeler - NPI 1780802074
Lacrisha Nicole Wheeler is a Physical Therapy Assistant in Rockford, Illinois. Lacrisha Nicole Wheeler practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Lacrisha Nicole Wheeler is 1780802074. The last update date is 2007-07-08.
Lacrisha Nicole Wheeler's current location address is 1401 E State St, Rockford, Illinois. You can contact this provider via phone number 8154894470 and fax number 8154905858. The mailing address for Lacrisha Nicole Wheeler is 1401 E State St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lacrisha Nicole Wheeler |
|---|---|
| Address | 1401 E State St, Rockford, Illinois |
| Phone Number | 8154894470 |
| Fax Number | 8154905858 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1780802074 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1401 E State St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611042315 |
| Phone Number | 8154894470 |
| Fax Number | 8154905858 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LW06011204A | IL | EI CREDENTIAL NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lacrisha Nicole Wheeler by the Centers for Medicare & Medicaid Services?
The Lacrisha Nicole Wheeler has been issued the NPI (National Provider Identifier) 1780802074, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lacrisha Nicole Wheeler?
The Lacrisha Nicole Wheeler is situated at 1401 E State St, in the city of Rockford, state of IL, with the zip code 611042315.
What is Lacrisha Nicole Wheeler's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lacrisha Nicole Wheeler is Physical Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 225200000X.
When was the Lacrisha Nicole Wheeler's 1780802074 issued?
The Lacrisha Nicole Wheeler's 1780802074 was issued on 2007-04-23.
When was the information related to Lacrisha Nicole Wheeler most recently updated or refreshed?
The details pertaining to the Lacrisha Nicole Wheeler, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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