Doctor Name: | NANCY D FULFER |
NPI Number: | 1245304708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT0000000446 |
Business Practice Address: | 55 Humphreys Center Dr Suite 200 The Pain Clinic Physical Therapy Memphis, TN - 381202366 |
Business Phone Number: | 9017470040 |
Business Fax Number: | |
Mailing Address: | Po Box 1000, Dept 441 The Pain Clinic Physical Therapy MEMPHIS |
State: | TN |
Postal Code: | 381480441 |
Phone Number: | 9017470040 |
Fax Number: | 9017474340 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0000000446 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |