Doctor Name: | ROCKY WADE ELSASSER |
NPI Number: | 1538192810 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 49332238-2401 |
Business Practice Address: | 943 N Linder Rd Suite 104 Kuna, ID - 636343395 |
Business Phone Number: | 2089221719 |
Business Fax Number: | 2089221721 |
Mailing Address: | 2176 E Franklin Rd, Suite 100 MERIDIAN |
State: | ID |
Postal Code: | 836429024 |
Phone Number: | 2082881155 |
Fax Number: | 2082880424 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 49332238-2401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
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 |