Doctor Name: | MR. KENNETH EDWARD CARTMELL |
NPI Number: | 1770846123 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | PT 6740 |
Business Practice Address: | 928 N Western Ave San Pedro, CA - 907322427 |
Business Phone Number: | 3105198900 |
Business Fax Number: | 3105198500 |
Mailing Address: | 2631 Willowhaven Dr, LA CRESCENTA |
State: | CA |
Postal Code: | 912141452 |
Phone Number: | 8182488476 |
Fax Number: | 8185419658 |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 07/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 6740 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |