Southern Lakes Physical Therapy in Milwaukee - Physical Therapy
Southern Lakes Physical Therapy - NPI 1699965525
Southern Lakes Physical Therapy is a Physical Therapy in Milwaukee, Wisconsin. Southern Lakes Physical Therapy practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Southern Lakes Physical Therapy is 1699965525. The last update date is 2019-10-11.
Southern Lakes Physical Therapy's current location address is 2121 S Kinnickinnic Ave Ste 3, Milwaukee, Wisconsin. You can contact this provider via phone number 4147440707. The mailing address for Southern Lakes Physical Therapy is 2121 S Kinnickinnic Ave Ste 3, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Lakes Physical Therapy |
|---|---|
| Address | 2121 S Kinnickinnic Ave Ste 3, Milwaukee, Wisconsin |
| Phone Number | 4147440707 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Lois William |
| Credentials | DPT |
| Telephone Number | 4147440707 |
NPI Number Detail
| NPI Number | 1699965525 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2019-10-11 |
Provider Mailing Address Detail
| Address | 2121 S Kinnickinnic Ave Ste 3 |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532071368 |
| Phone Number | 4147440707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | 10406024 |
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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 issued to Southern Lakes Physical Therapy by the Centers for Medicare & Medicaid Services?
The Southern Lakes Physical Therapy has been assigned the NPI (National Provider Identifier) 1699965525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Southern Lakes Physical Therapy?
The Southern Lakes Physical Therapy is physically situated at 2121 S Kinnickinnic Ave Ste 3, in the city of Milwaukee, state of WI, with the postal code 532071368.
What is Southern Lakes Physical Therapy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southern Lakes Physical Therapy is Physical Therapy, and the taxonomy code that categorizes this field of expertise is 261Qp2000X.
On what date did the Southern Lakes Physical Therapy receive the assignment of its 1699965525 from the Centers for Medicare & Medicaid Services?
The Southern Lakes Physical Therapy was issued its 1699965525 by the Centers for Medicare & Medicaid Services on 2007-07-26.
When was the information regarding Southern Lakes Physical Therapy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Southern Lakes Physical Therapy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-10-11.