| Doctor Name: | DR. STEVEN TYSON KOVACH |
| NPI Number: | 1467760025 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PTL-10978 |
| Business Practice Address: | 2817 Reilly St Fort Bragg, NC - 283107324 |
| Business Phone Number: | 9194363309 |
| Business Fax Number: | |
| Mailing Address: | 8006 Royal Dr, SANFORD |
| State: | NC |
| Postal Code: | 273329649 |
| Phone Number: | 7173852798 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2010 |
| NPI Last Update Date: | 09/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PTL-10978 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| 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 |