Doctor Name: | MR. PHILLIP WAYNE WELLS |
NPI Number: | 1295909042 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1127728 |
Business Practice Address: | 473 This Way St Lake Jackson, TX - 775665143 |
Business Phone Number: | 9792991422 |
Business Fax Number: | 9792991065 |
Mailing Address: | 473 This Way St, LAKE JACKSON |
State: | TX |
Postal Code: | 775665143 |
Phone Number: | 9792991422 |
Fax Number: | 9792991065 |
NPI Enumeration Date: | 04/14/2008 |
NPI Last Update Date: | 04/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1127728 |
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 |