Doctor Name: | MR. DAVID KUCK |
NPI Number: | 1538134697 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT DPT |
License Number: | 025601 0 |
Business Practice Address: | 31 Main Rd Ste 4 Riverhead, NY - 119011953 |
Business Phone Number: | 6312082900 |
Business Fax Number: | 6312082929 |
Mailing Address: | 31 Main Rd, Ste 4 RIVERHEAD |
State: | NY |
Postal Code: | 119011953 |
Phone Number: | 6312082900 |
Fax Number: | 6312082929 |
NPI Enumeration Date: | 02/22/2006 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 025601 0 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |