Doctor Name: | SAMUEL JON HACKETT |
NPI Number: | 1366762122 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 6218 |
Business Practice Address: | 898 Sw 4th Ave Ontario, OR - 979142627 |
Business Phone Number: | 5418817330 |
Business Fax Number: | 5418817334 |
Mailing Address: | 898 Sw 4th Ave, ONTARIO |
State: | OR |
Postal Code: | 979142627 |
Phone Number: | 5418817330 |
Fax Number: | 5418817334 |
NPI Enumeration Date: | 06/03/2010 |
NPI Last Update Date: | 07/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6218 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |