Organization Name: | KIM POLASEK LPT PC |
NPI Number: | 1275840183 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIM A POLASEK (OWNER) |
Mailing Address: | 202 Green Ave Taft |
State: | TX US |
Postal Code: | 783902706 |
Phone Number: | 3615283018 |
Fax Number: | 3615283542 |
NPI Enumeration Date: | 09/13/2010 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 136226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |