Doctor Name: | COLEIGH BROCK SAVAGE |
NPI Number: | 1629444344 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 4035 |
Business Practice Address: | 3016 W Main St Russellville Russellville, AR - 728012453 |
Business Phone Number: | 4799679657 |
Business Fax Number: | 4799679658 |
Mailing Address: | 3016 W Main St, Ste 200 RUSSELLVILLE |
State: | AR |
Postal Code: | 728012453 |
Phone Number: | 2057153544 |
Fax Number: | 4799679658 |
NPI Enumeration Date: | 08/17/2015 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |