Doctor Name: | MR. KENNETH H CALDWELL |
NPI Number: | 1649489592 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 3834 |
Business Practice Address: | Edmond Physical Therapy 301 S. Bryant, Ashling Square, Bldg. B-100 Edmond, OK - 73034 |
Business Phone Number: | 4053402019 |
Business Fax Number: | |
Mailing Address: | 408 Mcdonald Dr, EDMOND |
State: | OK |
Postal Code: | 730344358 |
Phone Number: | 4052165236 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3834 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |