Doctor Name: | RICHARD STANDISH STOCKWELL |
NPI Number: | 1750437844 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 2925 |
Business Practice Address: | 100 Jenkins Ranch Rd Suite E5 Durango, CO - 813019474 |
Business Phone Number: | 9707495308 |
Business Fax Number: | 8774605666 |
Mailing Address: | 100 Jenkins Ranch Rd, Suite E5 DURANGO |
State: | CO |
Postal Code: | 813019474 |
Phone Number: | 9707495308 |
Fax Number: | 8774605666 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |