Ivey Physical Therapy A Professional Corporation in Grass Valley - Physical Therapy
Ivey Physical Therapy A Professional Corporation - NPI 1720117104
Ivey Physical Therapy A Professional Corporation is a Physical Therapy in Grass Valley, California. Ivey Physical Therapy A Professional Corporation practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Ivey Physical Therapy A Professional Corporation is 1720117104. The last update date is 2019-07-08.
Ivey Physical Therapy A Professional Corporation's current location address is 10565 Brunswick Rd, Grass Valley, California. You can contact this provider via phone number 5302734152 and fax number 5302734153. The mailing address for Ivey Physical Therapy A Professional Corporation is 10565 Brunswick Rd, Grass Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ivey Physical Therapy A Professional Corporation |
|---|---|
| Address | 10565 Brunswick Rd, Grass Valley, California |
| Phone Number | 5302734152 |
| Fax Number | 5302734153 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ivey Dale Kevin |
| Telephone Number | 5302734152 |
NPI Number Detail
| NPI Number | 1720117104 |
|---|---|
| Provider Enumeration Date | 2007-03-03 |
| Last Updated Date | 2019-07-08 |
Provider Mailing Address Detail
| Address | 10565 Brunswick Rd |
|---|---|
| City | Grass Valley |
| State | California (CA) |
| Post Code | 959459053 |
| Phone Number | 5302734152 |
| Fax Number | 5302734153 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | PT20829 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
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What is the Ivey Physical Therapy A Professional Corporation's 1720117104?
The Ivey Physical Therapy A Professional Corporation's NPI (National Provider Identifier) Number is 1720117104. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ivey Physical Therapy A Professional Corporation's facilities are situated?
The facilities of Ivey Physical Therapy A Professional Corporation are physically located at the following address: 10565 Brunswick Rd, Grass Valley, CA, 959459053.
What is Ivey Physical Therapy A Professional Corporation's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ivey Physical Therapy A Professional Corporation is Physical Therapy, and the corresponding taxonomy classification code for this specialized field is 261Qp2000X.
On what date did Ivey Physical Therapy A Professional Corporation receive its 1720117104 assignment from the Centers for Medicare & Medicaid Services?
The Ivey Physical Therapy A Professional Corporation was assigned its 1720117104 on 2007-03-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Ivey Physical Therapy A Professional Corporation's details last updated?
The information pertaining to the Ivey Physical Therapy A Professional Corporation, including its address, specialty, and other details, was most recently updated on 2019-07-08.
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