Doctor Name: | MR. JEFFREY EARL MENGES |
NPI Number: | 1053480210 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | 025370-1 |
Business Practice Address: | 156 West Ave Brockport, NY - 144201229 |
Business Phone Number: | 5853956093 |
Business Fax Number: | |
Mailing Address: | 1502 Hill Park Ct, CHURCHVILLE |
State: | NY |
Postal Code: | 144289481 |
Phone Number: | 5857050160 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 025370-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |