Doctor Name: | KRISHNA NOMBRADO MORTERA |
NPI Number: | 1851577894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2006015819 |
Business Practice Address: | 214 W 5th St Suite D & E Joplin, MO - 648012501 |
Business Phone Number: | 4174374373 |
Business Fax Number: | 4177827038 |
Mailing Address: | 214 W 5th St, Suite D & E JOPLIN |
State: | MO |
Postal Code: | 648012501 |
Phone Number: | 4174374373 |
Fax Number: | 4177827038 |
NPI Enumeration Date: | 01/20/2008 |
NPI Last Update Date: | 01/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2006015819 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |