Organization Name: | I CAN PT LLC |
NPI Number: | 1194129817 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATHER J HENDERSON (CEO) |
Mailing Address: | 1626 Wells Ave Suite 105 Meridian |
State: | ID US |
Postal Code: | 836424524 |
Phone Number: | 2087890200 |
Fax Number: | 2082882784 |
NPI Enumeration Date: | 10/09/2014 |
NPI Last Update Date: | 02/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-2550 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |