Doctor Name: | HEATH JUSTIN DITTFURTH |
NPI Number: | 1326370503 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1191480 |
Business Practice Address: | 1100 N Blue Mound Rd Suite 130 Saginaw, TX - 761314901 |
Business Phone Number: | 8172323553 |
Business Fax Number: | 8172327882 |
Mailing Address: | 1100 N Blue Mound Rd, Suite 130 SAGINAW |
State: | TX |
Postal Code: | 761314901 |
Phone Number: | 8172323553 |
Fax Number: | 8172327882 |
NPI Enumeration Date: | 02/12/2010 |
NPI Last Update Date: | 02/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1191480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |