Joshua Drew Ice in Tomahawk - Athletic Trainer
Joshua Drew Ice - NPI 1083679575
Joshua Drew Ice is a Athletic Trainer in Tomahawk, Wisconsin. Joshua Drew Ice practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Joshua Drew Ice is 1083679575. The last update date is 2007-07-08.
Joshua Drew Ice's current location address is 401 W Mohawk Dr, Tomahawk, Wisconsin. You can contact this provider via phone number 7154537725 and fax number 7154537717. The mailing address for Joshua Drew Ice is 401 W Mohawk Dr, Tomahawk, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joshua Drew Ice |
|---|---|
| Address | 401 W Mohawk Dr, Tomahawk, Wisconsin |
| Phone Number | 7154537725 |
| Fax Number | 7154537717 |
| Sole Proprietor | X |
| Credentials | LAT |
NPI Number Detail
| NPI Number | 1083679575 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 401 W Mohawk Dr |
|---|---|
| City | Tomahawk |
| State | Wisconsin (WI) |
| Post Code | 544872218 |
| Phone Number | 7154537725 |
| Fax Number | 7154537717 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 457-039 |
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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 identifier code issued to Joshua Drew Ice by the Centers for Medicare & Medicaid Services?
The Joshua Drew Ice has been assigned the NPI (National Provider Identifier) 1083679575. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Joshua Drew Ice's physical address?
The Joshua Drew Ice is physically located at 401 W Mohawk Dr, in the city of Tomahawk, WI, with the postal code 544872218.
What is Joshua Drew Ice's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joshua Drew Ice's area of specialization is Athletic Trainer, and the corresponding taxonomy code that categorizes this field of practice is 2255A2300X.
On what date did the Joshua Drew Ice receive its 1083679575 assignment from the Centers for Medicare & Medicaid Services?
The Joshua Drew Ice was assigned its 1083679575 by the Centers for Medicare & Medicaid Services on 2006-04-19.
As of what date were the Joshua Drew Ice's details last updated?
The information pertaining to the Joshua Drew Ice, including its address, specialty, and other details, was most recently updated on 2007-07-08.