Doctor Name: | DEANNA C. DYE |
NPI Number: | 1891848347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT1657 |
Business Practice Address: | 650 Memorial Dr Bldg #68 Pocatello, ID - 832090001 |
Business Phone Number: | 2082823495 |
Business Fax Number: | |
Mailing Address: | 160 N 5th E, DRIGGS |
State: | ID |
Postal Code: | 834225115 |
Phone Number: | 2082824307 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1657 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |