Doctor Name: | DR. JULIE L EASTLAND |
NPI Number: | 1235328964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 11-03128 |
Business Practice Address: | 3515 Broadway Ave Great Bend, KS - 675303633 |
Business Phone Number: | 6207866111 |
Business Fax Number: | 6207866129 |
Mailing Address: | 3515 Broadway Ave, GREAT BEND |
State: | KS |
Postal Code: | 675303633 |
Phone Number: | 6207866111 |
Fax Number: | 6207866129 |
NPI Enumeration Date: | 10/18/2007 |
NPI Last Update Date: | 10/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-03128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |