Latricia Eubanks Mimbs in Jackson - Physical Therapy Assistant
Latricia Eubanks Mimbs - NPI 1730372822
Latricia Eubanks Mimbs is a Physical Therapy Assistant in Jackson, Mississippi. Latricia Eubanks Mimbs practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Latricia Eubanks Mimbs is 1730372822. The last update date is 2007-08-22.
Latricia Eubanks Mimbs's current location address is 13 Northtown Dr, Jackson, Mississippi. You can contact this provider via phone number 6012069195 and fax number 6019578391. The mailing address for Latricia Eubanks Mimbs is 13 Northtown Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Latricia Eubanks Mimbs |
|---|---|
| Address | 13 Northtown Dr, Jackson, Mississippi |
| Phone Number | 6012069195 |
| Fax Number | 6019578391 |
| Sole Proprietor | N |
| Credentials | LPTA |
NPI Number Detail
| NPI Number | 1730372822 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 13 Northtown Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392113047 |
| Phone Number | 6012069195 |
| Fax Number | 6019578391 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA3664 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Latricia Eubanks Mimbs by the Centers for Medicare & Medicaid Services?
The Latricia Eubanks Mimbs has been assigned the NPI (National Provider Identifier) 1730372822 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Latricia Eubanks Mimbs's facilities are situated?
The facilities of Latricia Eubanks Mimbs are physically located at the following address: 13 Northtown Dr, Jackson, MS, 392113047.
What is Latricia Eubanks Mimbs's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Latricia Eubanks Mimbs's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730372822 to Latricia Eubanks Mimbs?
The Centers for Medicare & Medicaid Services originally issued the 1730372822 to Latricia Eubanks Mimbs on 2007-08-22.
As of what date was the information regarding Latricia Eubanks Mimbs, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Latricia Eubanks Mimbs, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-22.