Doctor Name: | MR. KENNETH CHARLES DREYER |
NPI Number: | 1326366774 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 05006979A |
Business Practice Address: | 89 Cardinal Rd Fillmore, IN - 461289258 |
Business Phone Number: | 3175248863 |
Business Fax Number: | 7652464088 |
Mailing Address: | 89 Cardinal Rd, FILLMORE |
State: | IN |
Postal Code: | 461289258 |
Phone Number: | 7652466245 |
Fax Number: | 7652466245 |
NPI Enumeration Date: | 05/10/2010 |
NPI Last Update Date: | 05/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05006979A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |