Doctor Name: | PAUL R. SHOWALTER |
NPI Number: | 1407881402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT007528 |
Business Practice Address: | 665 Thornton Way Suite B Lithia Springs, GA - 301222602 |
Business Phone Number: | 7707395888 |
Business Fax Number: | 7707398877 |
Mailing Address: | 9425 Pebble Creek Ct, VILLA RICA |
State: | GA |
Postal Code: | 301803377 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT007528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |