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NPI Code Detail

MEDICARE: ISAAK HAAS DPT

MEDICARE: ISAAK HAAS DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist008006KY

General Provider Information

NPI Number : 1235745381
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAK HAAS DPT
Provider Business Mailing Address
First Line : PO BOX 306393
Second Line :
City : NASHVILLE
State : TN
Zip : 37230-6393
Country : US
Telephone Number : 615-373-1350
Fax Number :
Provider Business Practice Location Address
First Line : 2011 GRINSTEAD DR UNIT 101
Second Line :
City : LOUISVILLE
State : KY
Zip : 40204-1296
Country : US
Telephone Number : 502-813-7838
Fax Number : 502-813-7839
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2020
Last Update Date : 09/23/2020

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