Doctor Name: | GEOFFREY LEE ENDERS |
NPI Number: | 1053650259 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2013004039 |
Business Practice Address: | 2387 W Jackson Blvd Suite C Jackson, MO - 637553024 |
Business Phone Number: | 5732430210 |
Business Fax Number: | 5732435697 |
Mailing Address: | 266 Meddleton Dr, JACKSON |
State: | MO |
Postal Code: | 637557189 |
Phone Number: | 5735799512 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2013 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2013004039 |
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 |