Performance Physical Therapy Prof in Spearfish - Physical Therapy
Performance Physical Therapy Prof - NPI 1568509289
Performance Physical Therapy Prof is a Physical Therapy in Spearfish, South Dakota. Performance Physical Therapy Prof practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Performance Physical Therapy Prof is 1568509289. The last update date is 2011-04-06.
Performance Physical Therapy Prof's current location address is 215 E Jackson Blvd, Spearfish, South Dakota. You can contact this provider via phone number 6057226880 and fax number 6057226889. The mailing address for Performance Physical Therapy Prof is 215 E Jackson Blvd, Spearfish, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Performance Physical Therapy Prof |
|---|---|
| Address | 215 E Jackson Blvd, Spearfish, South Dakota |
| Phone Number | 6057226880 |
| Fax Number | 6057226889 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Tjaden J Tammy |
| Credentials | BS, ATC |
| Telephone Number | 6057226880 |
NPI Number Detail
| NPI Number | 1568509289 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2011-04-06 |
Provider Mailing Address Detail
| Address | 215 E Jackson Blvd |
|---|---|
| City | Spearfish |
| State | South Dakota (SD) |
| Post Code | 577832176 |
| Phone Number | 6057226880 |
| Fax Number | 6057226889 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41171 | SD | BLUE CROSS BLUE SHIELD SD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Performance Physical Therapy Prof by the Centers for Medicare & Medicaid Services?
The Performance Physical Therapy Prof has been issued the NPI (National Provider Identifier) 1568509289 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Performance Physical Therapy Prof is physically located?
The Performance Physical Therapy Prof is situated at the following address: 215 E Jackson Blvd, Spearfish, SD 577832176.
What is Performance Physical Therapy Prof's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Performance Physical Therapy Prof is Physical Therapy, and the taxonomy code that classifies this field of practice is 261Qp2000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568509289 to Performance Physical Therapy Prof?
The Centers for Medicare & Medicaid Services originally issued the 1568509289 to Performance Physical Therapy Prof on 2007-01-31.
When was the information regarding Performance Physical Therapy Prof, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Performance Physical Therapy Prof, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-04-06.