Doctor Name: | GORDON D HUSBY |
NPI Number: | 1467485128 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070-004524 |
Business Practice Address: | 420 N Il Route 31 Crystal Lake, IL - 600123711 |
Business Phone Number: | 8153565200 |
Business Fax Number: | 8153565262 |
Mailing Address: | 1720 Church St, JOHNSBURG |
State: | IL |
Postal Code: | 600518206 |
Phone Number: | 8153445643 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 03/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-004524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |