Doctor Name: | MICHELLE RAE HOVERSON |
NPI Number: | 1861608572 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 11-02609 |
Business Practice Address: | 6700 E 45th St N Bel Aire, KS - 672268817 |
Business Phone Number: | 3167444109 |
Business Fax Number: | |
Mailing Address: | 2501 Sunnydale Ct, VALLEY CENTER |
State: | KS |
Postal Code: | 671478657 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-02609 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
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 |