Doctor Name: | TIMOTHY J TILLMAN |
NPI Number: | 1467532572 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 3742 |
Business Practice Address: | 185 B St Ashland, OR - 975201910 |
Business Phone Number: | 5415520388 |
Business Fax Number: | 8667383305 |
Mailing Address: | 1257 Siskiyou Blvd, Pmb 17 ASHLAND |
State: | OR |
Postal Code: | 975202241 |
Phone Number: | 5415520388 |
Fax Number: | 8667383305 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3742 |
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 |