Meladjoy Therapy Services Inc in Mishawaka - Physical Therapy
Meladjoy Therapy Services Inc - NPI 1376600817
Meladjoy Therapy Services Inc is a Physical Therapy in Mishawaka, Indiana. Meladjoy Therapy Services Inc practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Meladjoy Therapy Services Inc is 1376600817. The last update date is 2020-08-22.
Meladjoy Therapy Services Inc's current location address is 54473 White Tail Dr, Mishawaka, Indiana. You can contact this provider via phone number 5743867555. The mailing address for Meladjoy Therapy Services Inc is 54473 White Tail Dr, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Meladjoy Therapy Services Inc |
|---|---|
| Address | 54473 White Tail Dr, Mishawaka, Indiana |
| Phone Number | 5743867555 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Utayde Villavicen Maynard |
| Credentials | PT |
| Telephone Number | 5743867570 |
NPI Number Detail
| NPI Number | 1376600817 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 54473 White Tail Dr |
|---|---|
| City | Mishawaka |
| State | Indiana (IN) |
| Post Code | 465451849 |
| Phone Number | 5743867555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
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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 unique 10-digit identification code assigned to Meladjoy Therapy Services Inc by the Centers for Medicare & Medicaid Services?
The Meladjoy Therapy Services Inc has been issued the NPI (National Provider Identifier) 1376600817, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Meladjoy Therapy Services Inc is physically located?
The Meladjoy Therapy Services Inc is situated at the following address: 54473 White Tail Dr, Mishawaka, IN 465451849.
What is Meladjoy Therapy Services Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Meladjoy Therapy Services Inc's area of specialization is Physical Therapy, and the corresponding taxonomy code that categorizes this field of practice is 261Qp2000X.
On what date did the Meladjoy Therapy Services Inc receive the assignment of its 1376600817 from the Centers for Medicare & Medicaid Services?
The Meladjoy Therapy Services Inc was issued its 1376600817 by the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date were the Meladjoy Therapy Services Inc's details last updated?
The information pertaining to the Meladjoy Therapy Services Inc, including its address, specialty, and other details, was most recently updated on 2020-08-22.