Organization Name: | DEMPSEY PHYSICAL THERAPY, LLC |
NPI Number: | 1003855164 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH G. DEMPSEY (OWNER) |
Mailing Address: | 126 Main St Great Barrington |
State: | MA US |
Postal Code: | 012301328 |
Phone Number: | 4136440110 |
Fax Number: | 4136440112 |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 9926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |