Doctor Name: | DR. JIMMIE ROBERT STORMS |
NPI Number: | 1629356605 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 05010613A |
Business Practice Address: | 1904 N Cross Lakes Cir Apt H Anderson, IN - 460124978 |
Business Phone Number: | 4175767311 |
Business Fax Number: | |
Mailing Address: | 4801 Lakewood Hills Ct, ANDERSON |
State: | IN |
Postal Code: | 460179305 |
Phone Number: | 4175767311 |
Fax Number: | |
NPI Enumeration Date: | 07/25/2011 |
NPI Last Update Date: | 07/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05010613A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |