Doctor Name: | SCOTT G DEVRIES |
NPI Number: | 1114065950 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 5501010006 |
Business Practice Address: | 2373 64th St Sw Suite 2500 Byron Center, MI - 493157974 |
Business Phone Number: | 6164568515 |
Business Fax Number: | |
Mailing Address: | 3565 Momentum Pl, CHICAGO |
State: | IL |
Postal Code: | 606895335 |
Phone Number: | 6164599404 |
Fax Number: | 6164568208 |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501010006 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |