Doctor Name: | WYNETTE FAUTH |
NPI Number: | 1376911826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1200 |
Business Practice Address: | 25 Claremont St Kalispell, MT - 599013551 |
Business Phone Number: | 4067529612 |
Business Fax Number: | |
Mailing Address: | 5330 Stelle Ln, WHITEFISH |
State: | MT |
Postal Code: | 599378459 |
Phone Number: | 4068623553 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2015 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |