Doctor Name: | MRS. CHRISTY D HACKLEMAN |
NPI Number: | 1073599882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 11-02885 |
Business Practice Address: | 301 E Madison Ave Derby, KS - 670371729 |
Business Phone Number: | 3167886734 |
Business Fax Number: | 3167884529 |
Mailing Address: | 400 Burning Tree Rd, DERBY |
State: | KS |
Postal Code: | 670373139 |
Phone Number: | 3167884584 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-02885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |