MEDICARE: CORINNE VOLK

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
1	225200000X	Physical Therapy Assistant	14-02589	KS

General Provider Information

NPI Number	:	1588098958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORINNE VOLK

Provider Business Mailing Address
First Line	:	212 WILCLIFF DR
Second Line	:
City	:	WAYNE
State	:	NE
Zip	:	68787-1667
Country	:	US
Telephone Number	:	402-518-0420
Fax Number	:

Provider Business Practice Location Address
First Line	:	212 WILCLIFF DR
Second Line	:
City	:	WAYNE
State	:	NE
Zip	:	68787-1667
Country	:	US
Telephone Number	:	402-518-0420
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2013
Last Update Date	:	08/21/2013

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Directions to “ CORINNE VOLK ” Practice Location

Language	Start Address	Practice Location

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