Doctor Name: | JASON P CAMBLIN |
NPI Number: | 1093741928 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | 11-03310 |
Business Practice Address: | 308 E Central Ave Andover, KS - 670028897 |
Business Phone Number: | 3167331331 |
Business Fax Number: | 3167334916 |
Mailing Address: | Po Box 8035, WICHITA |
State: | KS |
Postal Code: | 672080035 |
Phone Number: | 3166899135 |
Fax Number: | 3166899667 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-03310 |
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 |