Doctor Name: | ERIC ANDREASEN |
NPI Number: | 1841563335 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT-1527 |
Business Practice Address: | 393 East Second North Rexburg, ID - 83440 |
Business Phone Number: | 2083599570 |
Business Fax Number: | |
Mailing Address: | 475 City Street, Po Box 173 NEWDALE |
State: | ID |
Postal Code: | 83436 |
Phone Number: | 2084584721 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2012 |
NPI Last Update Date: | 02/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-1527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |