Doctor Name: | KURT MCCALLUM |
NPI Number: | 1649231390 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 944 |
Business Practice Address: | 620 N Diers Ave Suite 300 Grand Island, NE - 688034984 |
Business Phone Number: | 3083820344 |
Business Fax Number: | 3083823241 |
Mailing Address: | Po Box 5285, GRAND ISLAND |
State: | NE |
Postal Code: | 688025285 |
Phone Number: | 3083820344 |
Fax Number: | 3083823241 |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 03/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 944 |
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 |