Doctor Name: | JUSTIN THOMAS WEATHERFORD |
NPI Number: | 1588755490 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | PT00009852 |
Business Practice Address: | 9148 Se Hideaway Ct Damascus, OR - 970896324 |
Business Phone Number: | 5036664505 |
Business Fax Number: | |
Mailing Address: | 9148 Se Hideaway Ct, DAMASCUS |
State: | OR |
Postal Code: | 970896324 |
Phone Number: | 5036664505 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 04/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00009852 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
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 |