Doctor Name: | MR. LUIS L SACLOLO |
NPI Number: | 1740436203 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | AR1655 |
Business Practice Address: | 593 Horsebarn Rd Suite #101 Rogers, AR - 727588795 |
Business Phone Number: | 4792719191 |
Business Fax Number: | 4792719196 |
Mailing Address: | 841 Francis Ave, NEOSHO |
State: | MO |
Postal Code: | 648509186 |
Phone Number: | 4174559435 |
Fax Number: | 4174559435 |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 08/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | AR1655 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
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 |