Nathan Pack is a Occupational Therapist in Pecos, New Mexico. Nathan Pack practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Nathan Pack is 1710028485. The last update date is 2007-07-08.
Nathan Pack's current location address is North Highway 63, Pecos, New Mexico. You can contact this provider via phone number 5057574606. The mailing address for Nathan Pack is North Highway 63, Pecos, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan Pack |
|---|---|
| Address | North Highway 63, Pecos, New Mexico |
| Phone Number | 5057574606 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, OTRL |
NPI Number Detail
| NPI Number | 1710028485 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | North Highway 63 |
|---|---|
| City | Pecos |
| State | New Mexico (NM) |
| Post Code | 875520368 |
| Phone Number | 5057574606 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 2311 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95307257 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Nathan Pack by the Centers for Medicare & Medicaid Services?
The Nathan Pack has been issued the NPI (National Provider Identifier) 1710028485 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Nathan Pack is geographically located?
The Nathan Pack is physically situated at the following location: North Highway 63, Pecos, NM, 875520368.
What is the Nathan Pack's area of specialization and corresponding taxonomy classification?
The Nathan Pack's specialty field is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1710028485 to Nathan Pack?
The Nathan Pack received its 1710028485 assignment from the Centers for Medicare & Medicaid Services on 2007-02-08.
As of what date was the information pertaining to Nathan Pack, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nathan Pack, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.