Doctor Name: | ERIC REED MCEVOY |
NPI Number: | 1235594607 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, MPT |
License Number: | 4302 |
Business Practice Address: | 1351 W Pine Ave Meridian, ID - 836425031 |
Business Phone Number: | 2088887049 |
Business Fax Number: | |
Mailing Address: | 145 E Carver Dr, MERIDIAN |
State: | ID |
Postal Code: | 836464009 |
Phone Number: | 8594967833 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2015 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4302 |
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 |