Doctor Name: | MR. CHRIS DYSART |
NPI Number: | 1255711495 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 09077R |
Business Practice Address: | 3921 Williams Blvd Kenner, LA - 700653009 |
Business Phone Number: | 5044435152 |
Business Fax Number: | 5044435151 |
Mailing Address: | 3921 Williams Blvd, KENNER |
State: | LA |
Postal Code: | 700653009 |
Phone Number: | 5044435152 |
Fax Number: | 5044435151 |
NPI Enumeration Date: | 06/03/2015 |
NPI Last Update Date: | 06/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 09077R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |