Doctor Name: | MR. DAMON ANDREW STANSBERRY |
NPI Number: | 1174706741 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 05009074A |
Business Practice Address: | 1331 S A St Elwood, IN - 460361942 |
Business Phone Number: | 7655524600 |
Business Fax Number: | |
Mailing Address: | 226 S Anderson St, Suite B ELWOOD |
State: | IN |
Postal Code: | 460362015 |
Phone Number: | 7655528460 |
Fax Number: | 7655528470 |
NPI Enumeration Date: | 12/06/2007 |
NPI Last Update Date: | 12/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05009074A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |