Doctor Name: | KELLY LEE BUSHORE |
NPI Number: | 1194708115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | PT015724 |
Business Practice Address: | 401 Rte 36 South Roaring Spring, PA - 16673 |
Business Phone Number: | 8142245566 |
Business Fax Number: | |
Mailing Address: | 300 E Plank Rd, ALTOONA |
State: | PA |
Postal Code: | 16602 |
Phone Number: | 8149417708 |
Fax Number: | 8149417715 |
NPI Enumeration Date: | 11/23/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT015724 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
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 |