Doctor Name: | TRICIA WYATT |
NPI Number: | 1841696176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 12118 |
Business Practice Address: | 151 Christian Hill Rd Great Barrington, MA - 012301108 |
Business Phone Number: | 4135284560 |
Business Fax Number: | |
Mailing Address: | 82 Pine Grove Dr, RICHMOND |
State: | MA |
Postal Code: | 012545050 |
Phone Number: | 4138229456 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2014 |
NPI Last Update Date: | 11/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 12118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |