| Doctor Name: | CHAD HUMPHREY |
| NPI Number: | 1215988795 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 070-012365 |
| Business Practice Address: | 850 43rd Ave Ste 300 Moline, IL - 612658401 |
| Business Phone Number: | 3097430300 |
| Business Fax Number: | 3097430318 |
| Mailing Address: | 850 43rd Ave Ste 100, MOLINE |
| State: | IL |
| Postal Code: | 612658401 |
| Phone Number: | 3097432070 |
| Fax Number: | 3097432073 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 04/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070-012365 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |