WASHECK MANUAL THERAPY LLC


Address: 3074 Winghaven Blvd, O'fallon, MO 63368
Phone: 6362653333

WASHECK MANUAL THERAPY LLC (NPI# 1528507472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528507472
Entity Type Organization
Organization Name WASHECK MANUAL THERAPY LLC
Practice Address 3074 Winghaven Blvd
O'fallon
MO 63368
Mailing Address 9 Wingspan Ct
Lake Saint Louis
MO 63367-1834
Practice Telephone 6362653333
Practice Fax Number 6362653337
Mailing Telephone 6366999357
Enumeration Date 2017-02-13
Last Update Date 2017-02-13
Authorized Official Name DANIEL JAMES WASHECK (OWNER/PHYSICAL THERAPIST)
Authorized Official Telephone 6366999357
Authorized Official Credential PT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
LC001521104 MO Ambulatory Health Care Facilities

Office Location

Street Address 3074 WINGHAVEN BLVD
City O'FALLON
State MO
Zip Code 63368

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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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Competitor

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City O'FALLON
Zip Code 63368

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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