Doctor Name: | MR. DUANE RAY MEYER |
NPI Number: | 1033133590 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070-003152 |
Business Practice Address: | 1301 S Koke Mill Rd Springfield, IL - 627119252 |
Business Phone Number: | 2175479100 |
Business Fax Number: | 2177875595 |
Mailing Address: | Po Box 9469, SPRINGFIELD |
State: | IL |
Postal Code: | 627919469 |
Phone Number: | 2175479100 |
Fax Number: | 2177875595 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 12/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-003152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |