Doctor Name: | CHERRON MARIE KINGZETT HALVORSON |
NPI Number: | 1154448421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 7574 |
Business Practice Address: | 42 6th Ave Se Mayville, ND - 582571506 |
Business Phone Number: | 7017884439 |
Business Fax Number: | |
Mailing Address: | 550 32nd St Ne, NORTHWOOD |
State: | ND |
Postal Code: | 582679525 |
Phone Number: | 2187916291 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 04/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7574 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
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 |