Functional Innovative Therapy, Llc in Grand Rapids - Physical Therapy
Functional Innovative Therapy, Llc - NPI 1093727802
Functional Innovative Therapy, Llc is a Physical Therapy in Grand Rapids, Michigan. Functional Innovative Therapy, Llc practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Functional Innovative Therapy, Llc is 1093727802. The last update date is 2008-04-22.
Functional Innovative Therapy, Llc's current location address is 3035 Hoag Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163659394 and fax number 6163659394. The mailing address for Functional Innovative Therapy, Llc is 3035 Hoag Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Functional Innovative Therapy, Llc |
|---|---|
| Address | 3035 Hoag Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6163659394 |
| Fax Number | 6163659394 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Kubizna Joseph Trey |
| Credentials | DPT |
| Telephone Number | 6163659394 |
NPI Number Detail
| NPI Number | 1093727802 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | 3035 Hoag Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495259632 |
| Phone Number | 6163659394 |
| Fax Number | 6163659394 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | 5501012424 |
|
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 issued to Functional Innovative Therapy, Llc by the Centers for Medicare & Medicaid Services?
The Functional Innovative Therapy, Llc has been assigned the NPI (National Provider Identifier) 1093727802 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Functional Innovative Therapy, Llc is located?
The Functional Innovative Therapy, Llc is situated at the following address: 3035 Hoag Ave Ne, Grand Rapids, MI, 495259632.
What is Functional Innovative Therapy, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Functional Innovative Therapy, Llc's area of specialization is Physical Therapy, and the corresponding taxonomy code that categorizes this field of practice is 261Qp2000X.
When did Functional Innovative Therapy, Llc receive its 1093727802 assignment?
The Functional Innovative Therapy, Llc was assigned its 1093727802 on 2006-08-12, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Functional Innovative Therapy, Llc most recently updated or revised?
The details related to Functional Innovative Therapy, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-22.