Doctor Name: | MR. BRANT WALTER LEWIS |
NPI Number: | 1306911300 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 1870 |
Business Practice Address: | 14851 Se 82nd Dr Clackamas, OR - 970157624 |
Business Phone Number: | 5036560139 |
Business Fax Number: | 5035574871 |
Mailing Address: | 14851 Se 82nd Dr, CLACKAMAS |
State: | OR |
Postal Code: | 970157624 |
Phone Number: | 5036560139 |
Fax Number: | 5035574871 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |