Doctor Name: | MARK A BLANKESPOOR |
NPI Number: | 1154402022 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 02150 |
Business Practice Address: | 308 Se 9th St Pella, IA - 502192296 |
Business Phone Number: | 6416210230 |
Business Fax Number: | 6416210319 |
Mailing Address: | 1316 N Prairie St, PELLA |
State: | IA |
Postal Code: | 502191383 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02150 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |