Doctor Name: | JAN WILLIAM DURST |
NPI Number: | 1477743078 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 002363 |
Business Practice Address: | 1075 N Main St Madisonville, KY - 424311288 |
Business Phone Number: | 8124760409 |
Business Fax Number: | 8124761016 |
Mailing Address: | 7300 E Indiana St, Suite 102 EVANSVILLE |
State: | IN |
Postal Code: | 477152794 |
Phone Number: | 8124760409 |
Fax Number: | 8124761016 |
NPI Enumeration Date: | 07/30/2007 |
NPI Last Update Date: | 03/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 002363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |