Doctor Name: | MR. COY D. JUDD |
NPI Number: | 1730115775 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, OCS, ATC |
License Number: | PT00009264 |
Business Practice Address: | 420 Lilly Rd Ne Ste 103 Olympia, WA - 985065184 |
Business Phone Number: | 3604590260 |
Business Fax Number: | |
Mailing Address: | 3820 Rossberg St Se, LACEY |
State: | WA |
Postal Code: | 985033590 |
Phone Number: | 3605612552 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 08/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00009264 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |