Krystal Averitt in St Louis Park - Rehabilitation Practitioner
Krystal Averitt - NPI 1083880553
Krystal Averitt is a Rehabilitation Practitioner in St Louis Park, Minnesota. Krystal Averitt practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Krystal Averitt is 1083880553. The last update date is 2018-03-17.
Krystal Averitt's current location address is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529931000. The mailing address for Krystal Averitt is 6500 Excelsior Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Krystal Averitt |
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Address | 6500 Excelsior Blvd, St Louis Park, Minnesota |
Phone Number | 9529931000 |
Fax Number | |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1083880553 |
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Provider Enumeration Date | 2008-05-05 |
Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
Address | 6500 Excelsior Blvd |
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City | St Louis Park |
State | Minnesota (MN) |
Post Code | 554264702 |
Phone Number | 9529931000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation Practitioner |
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Taxonomy | 225400000X |
Definition: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
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What is the unique identification code assigned to Krystal Averitt by the Centers for Medicare & Medicaid Services?
The Krystal Averitt has been issued the NPI (National Provider Identifier) 1083880553. This 10-digit code 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 Krystal Averitt?
The Krystal Averitt is situated at 6500 Excelsior Blvd, in the city of St Louis Park, state of MN, with the zip code 554264702.
What is Krystal Averitt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Krystal Averitt is Rehabilitation Practitioner, and the taxonomy code that classifies this field of practice is 225400000X.
On what date did the Krystal Averitt receive its 1083880553 assignment from the Centers for Medicare & Medicaid Services?
The Krystal Averitt was assigned its 1083880553 by the Centers for Medicare & Medicaid Services on 2008-05-05.
When was the information related to Krystal Averitt most recently updated or refreshed?
The details pertaining to the Krystal Averitt, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-03-17.
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