Doctor Name: | DR. JANET BUSH TANKERSLEY |
NPI Number: | 1245441211 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT005179 |
Business Practice Address: | 987 St. Sebastian Way Building Ec1304 Augusta, GA - 30912 |
Business Phone Number: | 7067212141 |
Business Fax Number: | 7067213209 |
Mailing Address: | 2645 Louisville Rd, APPLING |
State: | GA |
Postal Code: | 308023604 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT005179 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | GA |
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 |