Doctor Name: | MR. JOHN A ANDREW |
NPI Number: | 1457383580 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, MPT, CSCS |
License Number: | 3629 |
Business Practice Address: | 2025 Ne Baker St Suite A Mcminnville, OR - 971282656 |
Business Phone Number: | 5034351900 |
Business Fax Number: | 8775406659 |
Mailing Address: | 2025 Ne Baker St, Suite A MCMINNVILLE |
State: | OR |
Postal Code: | 971282656 |
Phone Number: | 5034351900 |
Fax Number: | 5034351930 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 12/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |