Organization Name: | OPTIMUM HEALTH AND WELLNESS PHYSICAL THERAPY, INC. |
NPI Number: | 1649577578 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY MICHELLE CHICK (PHYSICAL THERAPIST) |
Mailing Address: | 5193 Borch St Ketchikan |
State: | AK US |
Postal Code: | 999019036 |
Phone Number: | 9076174253 |
Fax Number: | 9072477868 |
NPI Enumeration Date: | 02/11/2011 |
NPI Last Update Date: | 02/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
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 |