Doctor Name: | RICHARD W LEMON |
NPI Number: | 1487646733 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | 317769-2401 |
Business Practice Address: | 1033 W Quinn Rd Pocatello, ID - 832022425 |
Business Phone Number: | 2082334800 |
Business Fax Number: | 2082334887 |
Mailing Address: | 1033 W Quinn Rd, POCATELLO |
State: | ID |
Postal Code: | 832022425 |
Phone Number: | 2082334800 |
Fax Number: | 2082334887 |
NPI Enumeration Date: | 08/22/2005 |
NPI Last Update Date: | 06/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 317769-2401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
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 |