Organization Name: | MOUNTAIN TOWN REHAB, INC |
NPI Number: | 1003025263 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK THOMAS STANSBERRY (OWNER) |
Mailing Address: | 1106 W High St Mt Pleasant |
State: | MI US |
Postal Code: | 488582242 |
Phone Number: | 9897792920 |
Fax Number: | 9897729424 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 06/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501005383 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |