Doctor Name: | ANTHONY A PRUSA |
NPI Number: | 1891758116 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 11-01294 |
Business Practice Address: | 118 S Main St Ulysses, KS - 678802518 |
Business Phone Number: | 6203563333 |
Business Fax Number: | 6203563338 |
Mailing Address: | 118 S Main St, ULYSSES |
State: | KS |
Postal Code: | 678802518 |
Phone Number: | 6203563333 |
Fax Number: | 6203563338 |
NPI Enumeration Date: | 04/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11-01294 |
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 |