Doctor Name: | MR. STEVEN WADE |
NPI Number: | 1306889258 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T., A.T.C. |
License Number: | 3674 |
Business Practice Address: | Csu - Hartshorn Health Service 8031 Campus Delivery Fort Collins, CO - 805230001 |
Business Phone Number: | 9704911735 |
Business Fax Number: | 9704915306 |
Mailing Address: | 2919 Bozeman Ct, FORT COLLINS |
State: | CO |
Postal Code: | 805262601 |
Phone Number: | 9702268649 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3674 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CO |
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 |