Doctor Name: | KRIS D BOUSLOUGH |
NPI Number: | 1811947955 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 5200 |
Business Practice Address: | 8125 Adams Dr Suite B Hummelstown, PA - 170368625 |
Business Phone Number: | 7172202020 |
Business Fax Number: | 7172202010 |
Mailing Address: | 5300 Derry St, 2nd Floor HARRISBURG |
State: | PA |
Postal Code: | 171113576 |
Phone Number: | 7178392110 |
Fax Number: | 7175651934 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
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 |