| Organization Name: | VISALIA SPORT AND SPINE REHABILITATION CENTER INC |
| NPI Number: | 1184639809 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | QUENTIN HEATH JOHNSON (PRESIDENT CFO CEO) |
| Mailing Address: | 3530 W Mineral King Ave Suite D Visalia |
| State: | CA US |
| Postal Code: | 93291 |
| Phone Number: | 5596252777 |
| Fax Number: | 5596253373 |
| NPI Enumeration Date: | 07/30/2006 |
| 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 |