| Doctor Name: | JOEL D MOSTAD |
| NPI Number: | 1588954663 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 1200459 |
| Business Practice Address: | 3626 Long Leaf Dr Tyler, TX - 757071644 |
| Business Phone Number: | 9033888378 |
| Business Fax Number: | |
| Mailing Address: | 5058 Paluxy Dr, Apt 6105 TYLER |
| State: | TX |
| Postal Code: | 757036321 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2011 |
| NPI Last Update Date: | 04/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1200459 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |