Doctor Name: | BRIAN ROBERT KETTNER |
NPI Number: | 1245534296 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT37421 |
Business Practice Address: | 2960 E Nees Ave 108 Fresno, CA - 937206012 |
Business Phone Number: | 5593224103 |
Business Fax Number: | 6616169199 |
Mailing Address: | 8302 Espresso Dr, 100 BAKERSFIELD |
State: | CA |
Postal Code: | 933125687 |
Phone Number: | 6613771700 |
Fax Number: | 6616169199 |
NPI Enumeration Date: | 01/05/2011 |
NPI Last Update Date: | 08/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT37421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |