Doctor Name: | CLINTON FRANKENBACH |
NPI Number: | 1063641322 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 2009008297 |
Business Practice Address: | 790 N Hwy 67 Florissant, MO - 630315108 |
Business Phone Number: | 3149721442 |
Business Fax Number: | 3149721533 |
Mailing Address: | 13537 Barrett Parkway Drive, Suite 105 BALLWIN |
State: | MO |
Postal Code: | 630215866 |
Phone Number: | 3148219126 |
Fax Number: | 3148219142 |
NPI Enumeration Date: | 07/08/2009 |
NPI Last Update Date: | 08/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2009008297 |
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 |