Jason Gerald Minderman in Memphis - Recreation Therapist
Jason Gerald Minderman - NPI 1619153863
Jason Gerald Minderman is a Recreation Therapist in Memphis, Tennessee. Jason Gerald Minderman practices all healthcare services and medical treatments related to Recreation Therapist. The NPI Number for Jason Gerald Minderman is 1619153863. The last update date is 2008-01-18.
Jason Gerald Minderman's current location address is 1030 Jefferson Ave, Memphis, Tennessee. You can contact this provider via phone number 9015238990. The mailing address for Jason Gerald Minderman is 1030 Jefferson Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Gerald Minderman |
|---|---|
| Address | 1030 Jefferson Ave, Memphis, Tennessee |
| Phone Number | 9015238990 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CTRS |
NPI Number Detail
| NPI Number | 1619153863 |
|---|---|
| Provider Enumeration Date | 2008-01-18 |
| Last Updated Date | 2008-01-18 |
Provider Mailing Address Detail
| Address | 1030 Jefferson Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381042127 |
| Phone Number | 9015238990 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Recreation Therapist |
|---|---|
| Taxonomy | 225800000X |
| Licence No | 51204 |
|
Definition: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jason Gerald Minderman by the Centers for Medicare & Medicaid Services (CMS)?
The Jason Gerald Minderman has been assigned the NPI (National Provider Identifier) 1619153863. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jason Gerald Minderman is located?
The Jason Gerald Minderman is situated at the following address: 1030 Jefferson Ave, Memphis, TN, 381042127.
What is the Jason Gerald Minderman's area of specialization and corresponding taxonomy classification?
The Jason Gerald Minderman's specialty field is Recreation Therapist, and it falls under the taxonomy code 225800000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1619153863 to Jason Gerald Minderman?
The Jason Gerald Minderman received its 1619153863 assignment from the Centers for Medicare & Medicaid Services on 2008-01-18.
When was the information regarding Jason Gerald Minderman most recently updated?
The details pertaining to the Jason Gerald Minderman, including its address, specialty, and other relevant information, were last refreshed on 2008-01-18.
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