Doctor Name: | BRETT BOUSQUET |
NPI Number: | 1679957021 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PTL0013318 |
Business Practice Address: | 181 W Meadow Dr Howard Head Sports Medicine Vail, CO - 816575242 |
Business Phone Number: | 9704706653 |
Business Fax Number: | |
Mailing Address: | 145 N Frontage Rd W, Unit C 309 VAIL |
State: | CO |
Postal Code: | 816574573 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/15/2015 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTL0013318 |
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 |