Doctor Name: | MRS. MARY ANN SIDES |
NPI Number: | 1477690196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, ATC |
License Number: | 2194 |
Business Practice Address: | 1240 N 19th St Nebraska City, NE - 684101119 |
Business Phone Number: | 4028734838 |
Business Fax Number: | 4028734117 |
Mailing Address: | 1720 4th Corso, NEBRASKA CITY |
State: | NE |
Postal Code: | 684102633 |
Phone Number: | 4028734838 |
Fax Number: | 4028734117 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |