Doctor Name: | MR. RICHARD LEO GREGORY |
NPI Number: | 1417080128 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS PT |
License Number: | PT00003766 |
Business Practice Address: | 12437 Ne 173rd Place Suite 102 Woodinville, WA - 98072 |
Business Phone Number: | 4254886463 |
Business Fax Number: | 4254880382 |
Mailing Address: | Po Box 906, WOODINVILLE |
State: | WA |
Postal Code: | 98072 |
Phone Number: | 4254886463 |
Fax Number: | 4254880382 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 09/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00003766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |