Doctor Name: | MR. THOMAS MICHAEL DEYTON |
NPI Number: | 1316248529 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2283 |
Business Practice Address: | 305 G Street Salida, CO - 81201 |
Business Phone Number: | 7192218287 |
Business Fax Number: | |
Mailing Address: | 305 G St, SALIDA |
State: | CO |
Postal Code: | 812012020 |
Phone Number: | 7192218287 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2010 |
NPI Last Update Date: | 02/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 2283 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |