Doctor Name: | JAMES R WISE |
NPI Number: | 1841479599 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | 1364 |
Business Practice Address: | 2200 13th Ave Belle Fourche, SD - 577172215 |
Business Phone Number: | 6058923331 |
Business Fax Number: | |
Mailing Address: | Po Box 3450, RAPID CITY |
State: | SD |
Postal Code: | 577093450 |
Phone Number: | 6058923331 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2007 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
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 |