Doctor Name: | DEVA BONNEL |
NPI Number: | 1164822003 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1104830 |
Business Practice Address: | 1112 W 6th St Suite 124 Lawrence, KS - 660442215 |
Business Phone Number: | 7858439125 |
Business Fax Number: | 7858430032 |
Mailing Address: | 1112 W 6th St, Suite 124 LAWRENCE |
State: | KS |
Postal Code: | 660442215 |
Phone Number: | 7858439125 |
Fax Number: | 7858430032 |
NPI Enumeration Date: | 08/28/2014 |
NPI Last Update Date: | 08/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1104830 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |