| Doctor Name: | CARISSA DEE ENNS |
| NPI Number: | 1477677664 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 1093 |
| Business Practice Address: | 303 E 12th St Cozad, NE - 691301506 |
| Business Phone Number: | 3087842231 |
| Business Fax Number: | |
| Mailing Address: | 76140 Road 423, COZAD |
| State: | NE |
| Postal Code: | 691305211 |
| Phone Number: | 3083257302 |
| Fax Number: | |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1093 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| 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 |