Doctor Name: | MARK DANIEL CLEVEN |
NPI Number: | 1740398841 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, ATC |
License Number: | PT00003333 |
Business Practice Address: | 588 Se Bishop Blvd Ste A Pullman, WA - 991635534 |
Business Phone Number: | 5093327778 |
Business Fax Number: | 5093327032 |
Mailing Address: | 588 Se Bishop Blvd Ste A, PULLMAN |
State: | WA |
Postal Code: | 991635534 |
Phone Number: | 5093327778 |
Fax Number: | 5093327032 |
NPI Enumeration Date: | 08/28/2006 |
NPI Last Update Date: | 02/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00003333 |
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 |