Doctor Name: | JAMES D MCCALLUM |
NPI Number: | 1750319372 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 3654 |
Business Practice Address: | 906 W University Ave Suite 120 Flagstaff, AZ - 860012986 |
Business Phone Number: | 9285569935 |
Business Fax Number: | 9287744277 |
Mailing Address: | 906 W University Ave, Suite 120 FLAGSTAFF |
State: | AZ |
Postal Code: | 860012986 |
Phone Number: | 9285569935 |
Fax Number: | 9287744277 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3654 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |