Kevin E Polla in Virginia - Physical Therapy Assistant

Kevin E Polla - NPI 1134391360

Kevin E Polla is a Physical Therapy Assistant in Virginia, Minnesota. Kevin E Polla practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kevin E Polla is 1134391360. The last update date is 2008-03-27.

Kevin E Polla's current location address is 901 9th St N, Virginia, Minnesota. You can contact this provider via phone number 2187499405 and fax number 2187499407. The mailing address for Kevin E Polla is 901 9th St N, Virginia, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin E Polla
Address 901 9th St N, Virginia, Minnesota
Phone Number 2187499405
Fax Number 2187499407
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1134391360
Provider Enumeration Date 2008-03-27
Last Updated Date 2008-03-27

Provider Mailing Address Detail

Address 901 9th St N
City Virginia
State Minnesota (MN)
Post Code 557922325
Phone Number 2187499405
Fax Number 2187499407

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No A14
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 Kevin E Polla

What is the unique 10-digit identifier code assigned to Kevin E Polla by the Centers for Medicare & Medicaid Services?

The Kevin E Polla has been issued the NPI (National Provider Identifier) 1134391360 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kevin E Polla is physically located?

The Kevin E Polla is physically situated at the following address: 901 9Th St N, Virginia, MN, 557922325.

What is the Kevin E Polla's specialty and taxonomy code?

The Kevin E Polla's specialty is Physical Therapy Assistant, and the corresponding taxonomy code is 225200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134391360 to Kevin E Polla?

The Kevin E Polla received its 1134391360 assignment from the Centers for Medicare & Medicaid Services on 2008-03-27.

As of what date were the details related to Kevin E Polla most recently updated or revised?

The information pertaining to Kevin E Polla, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-27.

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