Doctor Name: | MR. RICHARD FIKE |
NPI Number: | 1073507109 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT11140 |
Business Practice Address: | 4737 El Camino Ave Carmichael, CA - 956084938 |
Business Phone Number: | 9164873473 |
Business Fax Number: | 9164873483 |
Mailing Address: | 4737 El Camino Ave, CARMICHAEL |
State: | CA |
Postal Code: | 956084938 |
Phone Number: | 9164873473 |
Fax Number: | 9164873483 |
NPI Enumeration Date: | 09/05/2005 |
NPI Last Update Date: | 10/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/24/2006 |
NPI Reactivation Date: | 03/31/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT11140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |