Doctor Name: | KEVIN BULTENA |
NPI Number: | 1457318453 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 03396 |
Business Practice Address: | 800 Ohio St Webster City, IA - 50595 |
Business Phone Number: | 5158327735 |
Business Fax Number: | 5158329402 |
Mailing Address: | Po Box 461, NEVADA |
State: | IA |
Postal Code: | 502010461 |
Phone Number: | 5153823366 |
Fax Number: | 5153821576 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 03396 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |