Doctor Name: | MARK ZELLER BRINKERHOFF |
NPI Number: | 1750433918 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT-278 |
Business Practice Address: | 170 Yellow Creek Rd Ste. D Evanston, WY - 829305200 |
Business Phone Number: | 3077838068 |
Business Fax Number: | 3077838073 |
Mailing Address: | 170 Yellow Creek Rd, Ste. D EVANSTON |
State: | WY |
Postal Code: | 829305200 |
Phone Number: | 3077838068 |
Fax Number: | 3077838073 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
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 |