Doctor Name: | MR. ADAM ROY LUBBERS |
NPI Number: | 1598724916 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | 7549 |
Business Practice Address: | 402 Red River Ave N Cold Spring, MN - 563201521 |
Business Phone Number: | 3206857269 |
Business Fax Number: | 3206857975 |
Mailing Address: | 3700 W Saint Germain St, Apartment 303 SAINT CLOUD |
State: | MN |
Postal Code: | 563017310 |
Phone Number: | 3204918587 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7549 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |