Doctor Name: | MR. BRYAN KEITH SPAIN |
NPI Number: | 1134557945 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2305206750 |
Business Practice Address: | 204 W 2nd St N Big Stone Gap, VA - 242192562 |
Business Phone Number: | 8043397066 |
Business Fax Number: | |
Mailing Address: | 204 W 2nd St N, BIG STONE GAP |
State: | VA |
Postal Code: | 242192562 |
Phone Number: | 8043397066 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2013 |
NPI Last Update Date: | 10/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305206750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |