Doctor Name: | ROBERT MAHON |
NPI Number: | 1013311596 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 8913 |
Business Practice Address: | 1832 Westchester Ln Shakopee, MN - 553794566 |
Business Phone Number: | 9522200487 |
Business Fax Number: | |
Mailing Address: | 1832 Westchester Ln, SHAKOPEE |
State: | MN |
Postal Code: | 553794566 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/13/2014 |
NPI Last Update Date: | 10/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |