Organization Name: | PT WEST PC |
NPI Number: | 1245323831 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY J MARLATT (PRESIDENT) |
Mailing Address: | 100 S Main Gordon |
State: | NE US |
Postal Code: | 693431618 |
Phone Number: | 3082820203 |
Fax Number: | 3082821276 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 05/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |