Organization Name: | KEWANEE PHYSICAL THERAPY AND REHAB SPECIALISTS |
NPI Number: | 1285740621 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON DEBORD (CO-OWNER) |
Mailing Address: | 101 S Galena Ave Wyoming |
State: | IL US |
Postal Code: | 614911470 |
Phone Number: | 3096954010 |
Fax Number: | 3098522402 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |