Doctor Name: | MR. JEFFREY R BRESNAHAN |
NPI Number: | 1023105327 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT, DPT |
License Number: | PT 00009538 |
Business Practice Address: | 12509 E. Mission Ave. Ste. 202 Spokane, WA - 99216 |
Business Phone Number: | 5094445678 |
Business Fax Number: | |
Mailing Address: | 16083 Sw Upper Boones Ferry Rd, Suite 300 TIGARD |
State: | OR |
Postal Code: | 972247736 |
Phone Number: | 8002198835 |
Fax Number: | 5036399699 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 11/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 00009538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |