| Organization Name: | BLUE RIDGE PHYSICAL THERAPY, INC |
| NPI Number: | 1477596500 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY WESTFALL (OWNER,PRESIDENT) |
| Mailing Address: | 4900 S. Arrowhead Drive Suite B Independence |
| State: | MO US |
| Postal Code: | 640556990 |
| Phone Number: | 8167956999 |
| Fax Number: | 8167953366 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | R0420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| 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 |