Shawnee Physical Therapy Pc in Shawnee - Physical Therapy

Shawnee Physical Therapy Pc - NPI 1043405475

Shawnee Physical Therapy Pc is a Physical Therapy in Shawnee, Oklahoma. Shawnee Physical Therapy Pc practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Shawnee Physical Therapy Pc is 1043405475. The last update date is 2012-04-24.

Shawnee Physical Therapy Pc's current location address is 909 N Kickapoo Ave, Shawnee, Oklahoma. You can contact this provider via phone number 4058788686. The mailing address for Shawnee Physical Therapy Pc is 909 N Kickapoo Ave, Shawnee, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shawnee Physical Therapy Pc
Address 909 N Kickapoo Ave, Shawnee, Oklahoma
Phone Number 4058788686
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PT/OWNER
Authorized Official Name Tanner S Regina
Telephone Number 4058788686

NPI Number Detail

NPI Number 1043405475
Provider Enumeration Date 2007-09-10
Last Updated Date 2012-04-24

Provider Mailing Address Detail

Address 909 N Kickapoo Ave
City Shawnee
State Oklahoma (OK)
Post Code 748015729
Phone Number 4058788686
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy
Taxonomy 261Qp2000X
Licence No PT1924
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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FAQs about Shawnee Physical Therapy Pc

What is the unique provider identifier assigned to Shawnee Physical Therapy Pc?

The Shawnee Physical Therapy Pc has been issued the NPI (National Provider Identifier) 1043405475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Shawnee Physical Therapy Pc is located?

The Shawnee Physical Therapy Pc is situated at the following address: 909 N Kickapoo Ave, Shawnee, OK, 748015729.

What is the area of specialization for Shawnee Physical Therapy Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shawnee Physical Therapy Pc is Physical Therapy, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2000X.

On what date did Shawnee Physical Therapy Pc receive its 1043405475 assignment from the Centers for Medicare & Medicaid Services?

The Shawnee Physical Therapy Pc was assigned its 1043405475 on 2007-09-10, 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 details pertaining to Shawnee Physical Therapy Pc last refreshed?

The information related to the Shawnee Physical Therapy Pc, including its address, specialty, and other relevant details, was last updated on 2012-04-24.

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