Doctor Name: | MR. COLE JAYMES CARSON |
NPI Number: | 1558582940 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 306 |
Business Practice Address: | 3677 College Rd Suite 12 Fairbanks, AK - 997093712 |
Business Phone Number: | 9074793800 |
Business Fax Number: | 9074799195 |
Mailing Address: | 3677 College Rd, Suite 12 FAIRBANKS |
State: | AK |
Postal Code: | 997093712 |
Phone Number: | 9074793800 |
Fax Number: | 9074799195 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 11/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |