Doctor Name: | TANNER SOMMER |
NPI Number: | 1518369404 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | PT-3519 |
Business Practice Address: | 1000 Greg Kruschek Ave Nome, AK - 997629999 |
Business Phone Number: | 9074434513 |
Business Fax Number: | |
Mailing Address: | General Delivery, NOME |
State: | AK |
Postal Code: | 997629999 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/23/2014 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-3519 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
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 |