Organization Name: | BRUCE HARLOW WHITESIDE |
NPI Number: | 1477699783 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRUCE HARLOW WHITESIDE (OWNER) |
Mailing Address: | 3909 Castlevale Rd Suite 100 Yakima |
State: | WA US |
Postal Code: | 989027800 |
Phone Number: | 5094570202 |
Fax Number: | 5094570404 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 601496566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |