Doctor Name: | KEVIN MCCLENAHAN |
NPI Number: | 1518942697 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT26663 |
Business Practice Address: | 16615 Lark Ave Ste 101 Los Gatos, CA - 950327645 |
Business Phone Number: | 4083581460 |
Business Fax Number: | 4083581459 |
Mailing Address: | 16615 Lark Ave, Ste 101 LOS GATOS |
State: | CA |
Postal Code: | 950327645 |
Phone Number: | 4083581460 |
Fax Number: | 4083581459 |
NPI Enumeration Date: | 12/12/2005 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT26663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |