Innovative Physical Therapy in Jackson - Physical Therapy
Innovative Physical Therapy - NPI 1750441325
Innovative Physical Therapy is a Physical Therapy in Jackson, Tennessee. Innovative Physical Therapy practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Innovative Physical Therapy is 1750441325. The last update date is 2008-01-23.
Innovative Physical Therapy's current location address is 620 Trace Dr, Jackson, Tennessee. You can contact this provider via phone number 5015150110 and fax number 8704821515. The mailing address for Innovative Physical Therapy is 620 Trace Dr, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Innovative Physical Therapy |
|---|---|
| Address | 620 Trace Dr, Jackson, Tennessee |
| Phone Number | 5015150110 |
| Fax Number | 8704821515 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Schoolfield M. Christopher |
| Telephone Number | 5015150110 |
NPI Number Detail
| NPI Number | 1750441325 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | 620 Trace Dr |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383051584 |
| Phone Number | 5015150110 |
| Fax Number | 8704821515 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | PT0000006287 |
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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 identifier code issued to Innovative Physical Therapy by the Centers for Medicare & Medicaid Services?
The Innovative Physical Therapy has been assigned the NPI (National Provider Identifier) 1750441325. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Innovative Physical Therapy?
The Innovative Physical Therapy is situated at 620 Trace Dr, in the city of Jackson, state of TN, with the zip code 383051584.
What is the area of specialization for Innovative Physical Therapy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Innovative Physical Therapy is Physical Therapy, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2000X.
When was the Innovative Physical Therapy's 1750441325 issued?
The Innovative Physical Therapy's 1750441325 was issued on 2006-12-12.
As of what date were the Innovative Physical Therapy's details last updated?
The information pertaining to the Innovative Physical Therapy, including its address, specialty, and other details, was most recently updated on 2008-01-23.