Doctor Name: | INGRID LYN IVERSEN |
NPI Number: | 1598091498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | NM3725 |
Business Practice Address: | 755 E 2nd Ave Suite E Durango, CO - 813015498 |
Business Phone Number: | 9703851773 |
Business Fax Number: | |
Mailing Address: | 755 E 2nd Ave, Suite E DURANGO |
State: | CO |
Postal Code: | 813015498 |
Phone Number: | 9703851773 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2009 |
NPI Last Update Date: | 10/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | NM3725 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
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 |