Doctor Name: | TYLER M LADENBURG |
NPI Number: | 1831325810 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2229PT |
Business Practice Address: | 111 Sunnyview Ln Suite A Kalispell, MT - 599013164 |
Business Phone Number: | 4067523597 |
Business Fax Number: | 4067567605 |
Mailing Address: | 906 9th St W, Suite A COLUMBIA FALLS |
State: | MT |
Postal Code: | 599123806 |
Phone Number: | 4068920681 |
Fax Number: | 4068920682 |
NPI Enumeration Date: | 06/04/2009 |
NPI Last Update Date: | 06/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2229PT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |