Doctor Name: | KERRY A BREEN |
NPI Number: | 1497847164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT-853 |
Business Practice Address: | 720 Lindsay Ln Cody, WY - 824144103 |
Business Phone Number: | 3075781970 |
Business Fax Number: | 3075781973 |
Mailing Address: | 720 Lindsay Ln, CODY |
State: | WY |
Postal Code: | 824144103 |
Phone Number: | 3075781970 |
Fax Number: | 3075781973 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 01/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
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 |