Doctor Name: | MR. ROBERT N MACKEY |
NPI Number: | 1316050362 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT000475E |
Business Practice Address: | 91 Newport Pike Suite 302 Gap, PA - 175279579 |
Business Phone Number: | 7174428957 |
Business Fax Number: | |
Mailing Address: | 91 Newport Pike, Suite 302 GAP |
State: | PA |
Postal Code: | 175279579 |
Phone Number: | 7174428957 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT000475E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |