Doctor Name: | KENNETH CHARLES LOUD |
NPI Number: | 1295917151 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2305003180 |
Business Practice Address: | 747 Volvo Pkwy 103 Chesapeake, VA - 233201615 |
Business Phone Number: | 7574202880 |
Business Fax Number: | |
Mailing Address: | 747 Volvo Pkwy, 103 CHESAPEAKE |
State: | VA |
Postal Code: | 233201615 |
Phone Number: | 7574202880 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2007 |
NPI Last Update Date: | 11/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305003180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |