Doctor Name: | MICHAEL JON CLOSE |
NPI Number: | 1609932037 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | 1350PT |
Business Practice Address: | 850 Holt Drive Bigfork, MT - 59911 |
Business Phone Number: | 4068376892 |
Business Fax Number: | 4068376435 |
Mailing Address: | Po Box 1527, BIGFORK |
State: | MT |
Postal Code: | 599111527 |
Phone Number: | 4068376892 |
Fax Number: | 4068376435 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1350PT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |