Doctor Name: | DARRYL MATHEW KELLEHER |
NPI Number: | 1215049622 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.S.P.T. |
License Number: | PT00002811 |
Business Practice Address: | 3711 Pacific Ave Ste 101 Tacoma, WA - 984187800 |
Business Phone Number: | 2534754415 |
Business Fax Number: | 2534753034 |
Mailing Address: | 3711 Pacific Ave Ste 101, TACOMA |
State: | WA |
Postal Code: | 984187800 |
Phone Number: | 2534754415 |
Fax Number: | 2534753034 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00002811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |