Doctor Name: | WILEY SOWLE |
NPI Number: | 1104204932 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 3448 |
Business Practice Address: | 700 E 1st St Ogallala, NE - 691532747 |
Business Phone Number: | 3082847333 |
Business Fax Number: | |
Mailing Address: | 700 E 1st St, OGALLALA |
State: | NE |
Postal Code: | 691532747 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/13/2015 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |