Doctor Name: | EVAN PAULSON |
NPI Number: | 1255743977 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | |
Business Practice Address: | 2126 3 Mile Road Grand Rapids, MI - 495053442 |
Business Phone Number: | 6164430395 |
Business Fax Number: | |
Mailing Address: | 2126 3 Mile Rd Ne, GRAND RAPIDS |
State: | MI |
Postal Code: | 495053442 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/29/2014 |
NPI Last Update Date: | 05/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |