Doctor Name: | KEITH COLLINSWORTH |
NPI Number: | 1639494594 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PLT-10415 |
Business Practice Address: | 1060 Gaffney Rd Stop 7440 Bassett Army Community Hospital Ft Wainwright, AK - 997035007 |
Business Phone Number: | 9073615418 |
Business Fax Number: | 9073614847 |
Mailing Address: | 1060 Gaffney Rd #7440, Bassett Army Community Hospital FT WAINWRIGHT |
State: | AK |
Postal Code: | 997037440 |
Phone Number: | 9073615418 |
Fax Number: | 9073614847 |
NPI Enumeration Date: | 04/05/2010 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PLT-10415 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |