Doctor Name: | DR. KENNETH HOLBERT |
NPI Number: | 1134599632 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT 1739 |
Business Practice Address: | 5450 Macdonald Ave Ste 1 Key West, FL - 330405906 |
Business Phone Number: | 3052948866 |
Business Fax Number: | 3052948898 |
Mailing Address: | 5450 Macdonald Ave Ste 1, KEY WEST |
State: | FL |
Postal Code: | 330405906 |
Phone Number: | 3052948866 |
Fax Number: | 3052948898 |
NPI Enumeration Date: | 09/28/2015 |
NPI Last Update Date: | 09/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 1739 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |