Doctor Name: | LUIS RENE' CORREA |
NPI Number: | 1881648533 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 001367 |
Business Practice Address: | 958 Collett Ave Bowling Green, KY - 421012304 |
Business Phone Number: | 2707966822 |
Business Fax Number: | 2707451473 |
Mailing Address: | 1368 Hayner Rd, BOWLING GREEN |
State: | KY |
Postal Code: | 421047889 |
Phone Number: | 2708431407 |
Fax Number: | 2707451473 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 001367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |