Doctor Name: | CRAIG S BERTELSEN |
NPI Number: | 1134319486 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, CERT MDT |
License Number: | PT2339 |
Business Practice Address: | 715 Highway 45 Baldwyn, MS - 388248591 |
Business Phone Number: | 6623655610 |
Business Fax Number: | 6623655611 |
Mailing Address: | Po Box 366, 715 Hwy 45 BALDWYN |
State: | MS |
Postal Code: | 388240366 |
Phone Number: | 6623655610 |
Fax Number: | 6623655611 |
NPI Enumeration Date: | 08/01/2007 |
NPI Last Update Date: | 03/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2339 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |