Doctor Name: | JAMIE KRETSCHMER |
NPI Number: | 1467896779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1777 |
Business Practice Address: | 7 Elliott St Council Bluffs, IA - 515030239 |
Business Phone Number: | 7123289500 |
Business Fax Number: | |
Mailing Address: | 33859 168th St, HONEY CREEK |
State: | IA |
Postal Code: | 515424522 |
Phone Number: | 7126422188 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2013 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1777 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
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 |