Doctor Name: | MARK SHERWOOD LIBBY |
NPI Number: | 1619904588 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 040 0003101 |
Business Practice Address: | 10606 Rt 106 South Woodstock, VT - 05091 |
Business Phone Number: | 8024574213 |
Business Fax Number: | |
Mailing Address: | 4 Prospect St, P. O. Box 426 WOODSTOCK |
State: | VT |
Postal Code: | 050911286 |
Phone Number: | 8024574160 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 040 0003101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |