Tina Dean Wailgum in Collegeville - Athletic Trainer
Tina Dean Wailgum - NPI 1225150360
Tina Dean Wailgum is a Athletic Trainer in Collegeville, Pennsylvania. Tina Dean Wailgum practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Tina Dean Wailgum is 1225150360. The last update date is 2007-07-08.
Tina Dean Wailgum's current location address is 4234 Creek Rd, Collegeville, Pennsylvania. You can contact this provider via phone number 6104541315. The mailing address for Tina Dean Wailgum is 4234 Creek Rd, Collegeville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina Dean Wailgum |
|---|---|
| Address | 4234 Creek Rd, Collegeville, Pennsylvania |
| Phone Number | 6104541315 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1225150360 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4234 Creek Rd |
|---|---|
| City | Collegeville |
| State | Pennsylvania (PA) |
| Post Code | 194261115 |
| Phone Number | 6104541315 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | RT000191A |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identifier code assigned to Tina Dean Wailgum by the Centers for Medicare & Medicaid Services?
The Tina Dean Wailgum has been issued the NPI (National Provider Identifier) 1225150360 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Tina Dean Wailgum is located?
The Tina Dean Wailgum is situated at the following address: 4234 Creek Rd, Collegeville, PA, 194261115.
What is the Tina Dean Wailgum's area of specialization and corresponding taxonomy classification?
The Tina Dean Wailgum's specialty field is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their specialties.
On what date did the Tina Dean Wailgum receive the assignment of its 1225150360 from the Centers for Medicare & Medicaid Services?
The Tina Dean Wailgum was issued its 1225150360 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the Tina Dean Wailgum's information last updated?
The Tina Dean Wailgum's information was last updated on 2007-07-08.