Doctor Name: | TODD CAMPBELL |
NPI Number: | 1841550522 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 63323172401 |
Business Practice Address: | 642 N 1000 W Ste 107 Logan, UT - 843213140 |
Business Phone Number: | 4357531556 |
Business Fax Number: | |
Mailing Address: | 642 N 1000 W Ste 107, LOGAN |
State: | UT |
Postal Code: | 843213140 |
Phone Number: | 4357531556 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2012 |
NPI Last Update Date: | 05/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 63323172401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |