Doctor Name: | KEVIN JOHN SGROI |
NPI Number: | 1770678484 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 1457 |
Business Practice Address: | 8475 N Government Way Suite 102 Hayden, ID - 838358670 |
Business Phone Number: | 2087729774 |
Business Fax Number: | 2087729564 |
Mailing Address: | 8475 N Government Way, Suite 102 HAYDEN |
State: | ID |
Postal Code: | 838358670 |
Phone Number: | 2087729774 |
Fax Number: | 2087729564 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |