Doctor Name: | CHAD MICHAEL FLICK |
NPI Number: | 1841281359 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT016166 |
Business Practice Address: | 650 Joel Drive Fort Campbell, KY - 42223 |
Business Phone Number: | 8142179858 |
Business Fax Number: | |
Mailing Address: | 1021 Summerhaven Road, CLARKSVILLE |
State: | TN |
Postal Code: | 37042 |
Phone Number: | 8142179858 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT016166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |