Doctor Name: | MRS. ANDREA RAE MCCARRON |
NPI Number: | 1538139142 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 0796 |
Business Practice Address: | 101 W 69th St Suite 105 Sioux Falls, SD - 571082438 |
Business Phone Number: | 6053310044 |
Business Fax Number: | 6053310088 |
Mailing Address: | 6105 S Venita Cir, SIOUX FALLS |
State: | SD |
Postal Code: | 571082514 |
Phone Number: | 6053570077 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 09/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
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 |