Cheryl Willis in Bangor - Physical Therapy Assistant
Cheryl Willis - NPI 1609885052
Cheryl Willis is a Physical Therapy Assistant in Bangor, Maine. Cheryl Willis practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Cheryl Willis is 1609885052. The last update date is 2009-01-21.
Cheryl Willis's current location address is 133 Corporate Dr, Bangor, Maine. You can contact this provider via phone number 2079929286 and fax number 2079929287. The mailing address for Cheryl Willis is 133 Corporate Dr, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl Willis |
|---|---|
| Address | 133 Corporate Dr, Bangor, Maine |
| Phone Number | 2079929286 |
| Fax Number | 2079929287 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1609885052 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2009-01-21 |
Provider Mailing Address Detail
| Address | 133 Corporate Dr |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44014312 |
| Phone Number | 2079929286 |
| Fax Number | 2079929287 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PA1383 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 267590099 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Cheryl Willis by the Centers for Medicare & Medicaid Services?
The Cheryl Willis has been assigned the NPI (National Provider Identifier) 1609885052 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Cheryl Willis located?
The Cheryl Willis is located at 133 Corporate Dr, Bangor, ME 44014312.
What is the Cheryl Willis's specialty and taxonomy code?
The Cheryl Willis's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.
When did Cheryl Willis receive its 1609885052 assignment?
The Cheryl Willis was assigned its 1609885052 on 2006-08-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Cheryl Willis last refreshed?
The information related to the Cheryl Willis, including its address, specialty, and other relevant details, was last updated on 2009-01-21.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC