Organization Name: | ADVANCE SPORTS AND SPINE THERAPY, LLC |
NPI Number: | 1831312818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NOEL MARCEL TENOSO (PT, OWNER) |
Mailing Address: | 1554 Garden St # 103 West Linn |
State: | OR US |
Postal Code: | 970683278 |
Phone Number: | 5037230347 |
Fax Number: | 5036559305 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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 |