Doctor Name: | MRS. JACLYN K GARVEY |
NPI Number: | 1518202027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 11122 |
Business Practice Address: | 0105 Edwards Village Blvd Suite A203 Edwards, CO - 816322637 |
Business Phone Number: | 9709264600 |
Business Fax Number: | 9709264602 |
Mailing Address: | Po Box 2637, EDWARDS |
State: | CO |
Postal Code: | 816322637 |
Phone Number: | 9709264600 |
Fax Number: | 9709264602 |
NPI Enumeration Date: | 12/10/2012 |
NPI Last Update Date: | 03/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |