Doctor Name: | KEVIN MOONEY |
NPI Number: | 1578949509 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 05011835A |
Business Practice Address: | 2206 State St Suite 300 New Albany, IN - 471504925 |
Business Phone Number: | 8122060200 |
Business Fax Number: | 8122060002 |
Mailing Address: | 800 Crescent Centre Dr, Suite 600 FRANKLIN |
State: | TN |
Postal Code: | 370677269 |
Phone Number: | 6153731350 |
Fax Number: | 6152219054 |
NPI Enumeration Date: | 07/31/2015 |
NPI Last Update Date: | 07/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05011835A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |