Doctor Name: | MR. NATHAN JAMES BLISS |
NPI Number: | 1699722025 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | PT20475 |
Business Practice Address: | 10162 Adams Ave Huntington Beach, CA - 926464907 |
Business Phone Number: | 7148614440 |
Business Fax Number: | 7148614450 |
Mailing Address: | 4881 Dogwood Ave, SEAL BEACH |
State: | CA |
Postal Code: | 907403046 |
Phone Number: | 7148614440 |
Fax Number: | 7148614450 |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT20475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |