Phillip L Threatt in Columbia - Athletic Trainer
Phillip L Threatt - NPI 1265455398
Phillip L Threatt is a Athletic Trainer in Columbia, Missouri. Phillip L Threatt practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Phillip L Threatt is 1265455398. The last update date is 2015-03-18.
Phillip L Threatt's current location address is 3301 Berrywood Dr, Columbia, Missouri. You can contact this provider via phone number 5734498771 and fax number 5734496563. The mailing address for Phillip L Threatt is 3301 Berrywood Dr, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip L Threatt |
|---|---|
| Address | 3301 Berrywood Dr, Columbia, Missouri |
| Phone Number | 5734498771 |
| Fax Number | 5734496563 |
| Sole Proprietor | N |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1265455398 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2015-03-18 |
Provider Mailing Address Detail
| Address | 3301 Berrywood Dr |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652016517 |
| Phone Number | 5734498771 |
| Fax Number | 5734496563 |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 103540 |
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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 issued to Phillip L Threatt by the Centers for Medicare & Medicaid Services?
The Phillip L Threatt has been assigned the NPI (National Provider Identifier) 1265455398 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Phillip L Threatt is physically located?
The Phillip L Threatt is physically situated at the following address: 3301 Berrywood Dr, Columbia, MO, 652016517.
What is Phillip L Threatt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Phillip L Threatt is Athletic Trainer, and the taxonomy code that classifies this field of practice is 2255A2300X.
On what date was the 1265455398 assigned to Phillip L Threatt?
The Phillip L Threatt was issued its 1265455398 on 2006-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Phillip L Threatt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Phillip L Threatt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-18.