Doctor Name: | JEFF MYERS |
NPI Number: | 1578901245 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, CKTP |
License Number: | 1389 |
Business Practice Address: | 190 Arrowhead Dr Suite 3 Evanston, WY - 829309266 |
Business Phone Number: | 3077838220 |
Business Fax Number: | |
Mailing Address: | 140 Constitution Ave Apt 4, EVANSTON |
State: | WY |
Postal Code: | 829303027 |
Phone Number: | 8014005565 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2013 |
NPI Last Update Date: | 06/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
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 |