Doctor Name: | BYRON CUNNINGHAM |
NPI Number: | 1427287556 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T., ATC |
License Number: | 8322 |
Business Practice Address: | 1 Rams Way Earth City, MO - 630451523 |
Business Phone Number: | 3145168735 |
Business Fax Number: | 3145158777 |
Mailing Address: | 1 Rams Way, EARTH CITY |
State: | MO |
Postal Code: | 630451523 |
Phone Number: | 3145168735 |
Fax Number: | 3145158777 |
NPI Enumeration Date: | 07/10/2009 |
NPI Last Update Date: | 02/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8322 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
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 |