MISS MICHELLE MARIE RADAR L/PTA NPI 1376859942

NPI Information

NPI: 1376859942
Provider Name: MISS MICHELLE MARIE RADAR, L/PTA
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1201 NEWCASTLE RD
WASHINGTON, IL
ZIP 61571
Phone: (309) 444-1065
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MISS Michelle Marie Radar, L/PTA is a specialist in Washington, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MISS Michelle Marie Radar, L/PTA NPI is 1376859942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1201 NEWCASTLE RD
WASHINGTON, IL
ZIP 61571-243
Phone: (309) 444-1065
Fax: (309) 444-1095

The enumeration date for this NPI number is 8/20/2010 and was last updated on 8/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		160005261	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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