Doctor Name: | MR. GLEN RAYMOND AKERS |
NPI Number: | 1477519874 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 5023 |
Business Practice Address: | 25500 Se Stark St Suite 103 Gresham, OR - 970303331 |
Business Phone Number: | 5033280222 |
Business Fax Number: | 5033280223 |
Mailing Address: | Po Box 52194, Dept Code 961 PHOENIX |
State: | AZ |
Postal Code: | 850722194 |
Phone Number: | 5033280222 |
Fax Number: | 5033280223 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 11/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5023 |
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 |