Doctor Name: | RANDY CLAIR BRUCE |
NPI Number: | 1326149667 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | PT00005408 |
Business Practice Address: | 515 N Stratford Rd Moses Lake, WA - 988371572 |
Business Phone Number: | 5097664277 |
Business Fax Number: | 5097664280 |
Mailing Address: | 515 N Stratford Rd, MOSES LAKE |
State: | WA |
Postal Code: | 988371572 |
Phone Number: | 5097664277 |
Fax Number: | 5097664280 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00005408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |