Doctor Name: | DR. CHRISTOPHER LEE DICKERSON |
NPI Number: | 1003164831 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | |
Business Practice Address: | 5210 Corporate Center Ct Se Suite D Lacey, WA - 985035952 |
Business Phone Number: | 3604558155 |
Business Fax Number: | 3604551655 |
Mailing Address: | 1519 132nd St Se, Suite A EVERETT |
State: | WA |
Postal Code: | 982087203 |
Phone Number: | 4253579380 |
Fax Number: | 4253579382 |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 01/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |