Doctor Name: | KENNETH MICHAEL TULEY |
NPI Number: | 1699964940 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT2716 |
Business Practice Address: | 700 Johnson Ridge Rd Elkin, NC - 286212424 |
Business Phone Number: | 3365277638 |
Business Fax Number: | 3366994615 |
Mailing Address: | 700 Johnson Ridge Rd, ELKIN |
State: | NC |
Postal Code: | 286212424 |
Phone Number: | 3365277638 |
Fax Number: | 3366994615 |
NPI Enumeration Date: | 10/22/2007 |
NPI Last Update Date: | 10/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2716 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |