Doctor Name: | DR. L HOWARD QUACKENBUSH |
NPI Number: | 1487780003 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 285712-2401 |
Business Practice Address: | 95 White Sage Ave Suite C Delta, UT - 846245555 |
Business Phone Number: | 4358642551 |
Business Fax Number: | 4358643573 |
Mailing Address: | 95 White Sage Ave, Suite C DELTA |
State: | UT |
Postal Code: | 846245555 |
Phone Number: | 4358642551 |
Fax Number: | 4358643573 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 285712-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |