Doctor Name: | MR. DOUGLAS ANDREW BONNESEN |
NPI Number: | 1285772475 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 11-01966 |
Business Practice Address: | 9727 E Shannon Woods Cir Ste 160 Wichita, KS - 672264102 |
Business Phone Number: | 3166810824 |
Business Fax Number: | 3162191349 |
Mailing Address: | 6407 E 39th Ct N, WICHITA |
State: | KS |
Postal Code: | 672262455 |
Phone Number: | 3166879240 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-01966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |