Doctor Name: | LARRY A NATIONS |
NPI Number: | 1023071719 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2004030206 |
Business Practice Address: | 2725 N Westwood Blvd Poplar Bluff, MO - 639012346 |
Business Phone Number: | 5737789348 |
Business Fax Number: | 5736864870 |
Mailing Address: | Po Box 1027, POPLAR BLUFF |
State: | MO |
Postal Code: | 639021027 |
Phone Number: | 5737789348 |
Fax Number: | 5736864870 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2004030206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |