Doctor Name: | MR. ROBERT ALLEN HAWKES |
NPI Number: | 1013080753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 1200782401 |
Business Practice Address: | 1551 S Renaissance Twn Dr Suite 420 Sportsmed Physical Therapy Bountiful, UT - 84010 |
Business Phone Number: | 8012958999 |
Business Fax Number: | 8012924168 |
Mailing Address: | 1551 S Renaissance Twn Dr, Suite 420 Sportsmed Physical Therapy BOUNTIFUL |
State: | UT |
Postal Code: | 84010 |
Phone Number: | 8012958999 |
Fax Number: | 8012924168 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1200782401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |