JENNIFER HALLDEN LMT, NPI 1992103311 — PHOENIX (AZ)

NPI 1992103311

5+ Years Experience Individual

JENNIFER HALLDEN LMT

12/17/2014
PROVIDER ENUMERATION DATE
12/17/2014
LAST UPDATE DATE
1992103311
NPI NUMBER

About JENNIFER HALLDEN

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

JENNIFER HALLDEN is a provider established in PHOENIX, AZ. The NPI number of JENNIFER HALLDEN is 1992103311 and was assigned on 12/17/2014. The practitioners primary taxonomy code is: 172M00000X .

Mailing address

  • City: PHOENIX
  • State: AZ
  • Postal code: 850535524
  • Phone: 6027380489
  • Address: 13811 N 35TH DR STE F

Primary Practice Address

  • Region : PHOENIX, AZ
  • NPI : 1992103311
  • Phone : 6027380489
  • Postalcode : 850535524
  • Address : 13811 N 35TH DR STE F

Provider taxonomy - Mechanotherapist

  • Taxonomy code: 172M00000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.

Contacts:

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  • JENNIFER HALLDEN LMT
  • Address : 13811 N 35TH DR STE F
  • Region : PHOENIX, AZ
  • NPI : 1992103311
  • Phone : 6027380489
  • Postalcode : 850535524

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address13811 N 35TH DR STE F
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NamePHOENIX
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameAZ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code850535524
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6027380489
The telephone number associated with the location address of the provider being identified.
NPI1992103311
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1172M00000X
A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.
Provider Enumeration Date12/17/2014
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated12/17/2014
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)JENNIFER HALLDEN
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address13811 N 35TH DR STE F
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NamePHOENIX
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameAZ
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code850535524
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6027380489
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1172M00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Mechanotherapist
A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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