Doctor Name: | KEMP BRUCE LAIDLEY |
NPI Number: | 1831367481 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3357 |
Business Practice Address: | 2319 W Pierce St Ste A Carlsbad, NM - 882203515 |
Business Phone Number: | 5057064455 |
Business Fax Number: | |
Mailing Address: | 3937 Spring Branch Dr, ROSWELL |
State: | NM |
Postal Code: | 882039624 |
Phone Number: | 5757064455 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2008 |
NPI Last Update Date: | 03/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3357 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |