Doctor Name: | THOMAS SPEVAK |
NPI Number: | 1073837761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 05002211A |
Business Practice Address: | 1375 N Wellness Way Bloomington, IN - 474049786 |
Business Phone Number: | 8126764111 |
Business Fax Number: | 8126764110 |
Mailing Address: | Po Box 1329, BLOOMINGTON |
State: | IN |
Postal Code: | 474021329 |
Phone Number: | 8123533087 |
Fax Number: | 8123535859 |
NPI Enumeration Date: | 03/24/2010 |
NPI Last Update Date: | 12/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05002211A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |