Doctor Name: | CHRISTOPHER J LOUGHEED |
NPI Number: | 1760627038 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | |
Business Practice Address: | 943 N Linder Rd Suite 104 Kuna, ID - 836343394 |
Business Phone Number: | 2089221719 |
Business Fax Number: | 2089221721 |
Mailing Address: | 1560 S Carol St, MERIDIAN |
State: | ID |
Postal Code: | 836461839 |
Phone Number: | 2082881155 |
Fax Number: | 2082880424 |
NPI Enumeration Date: | 12/15/2008 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |