Organization Name: | SPORTS MEDICINE CLINIC OF MACON COUNTY |
NPI Number: | 1174594717 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT W HILL (OWNER, CEO) |
Mailing Address: | 1900 E Lake Shore Dr Suite 150 Decatur |
State: | IL US |
Postal Code: | 625213824 |
Phone Number: | 2174286222 |
Fax Number: | 2174282617 |
NPI Enumeration Date: | 01/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |