Doctor Name: | KENYON MICHAEL DEHAAN |
NPI Number: | 1720007768 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 03042 |
Business Practice Address: | 1705 S 1st Ave Suite C Iowa City, IA - 522406006 |
Business Phone Number: | 3193378818 |
Business Fax Number: | 3193378308 |
Mailing Address: | 230 Lockmoor Ave., NORTH LIBERTY |
State: | IA |
Postal Code: | 52317 |
Phone Number: | 3196652442 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 06/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 03042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |