Doctor Name: | JOHN MAKOVICKA |
NPI Number: | 1629018866 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 243 |
Business Practice Address: | 640 W 6th St North Bend, NE - 686494430 |
Business Phone Number: | 4026528201 |
Business Fax Number: | 4026528202 |
Mailing Address: | Po Box 211, DAVID CITY |
State: | NE |
Postal Code: | 686320211 |
Phone Number: | 4026528201 |
Fax Number: | 4026528202 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 10/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 243 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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 |