Doctor Name: | DOUGLAS WAYNE BALL |
NPI Number: | 1891916359 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. A.T.C. |
License Number: | PT-1662 |
Business Practice Address: | 300 S 3rd W Soda Springs, ID - 832761559 |
Business Phone Number: | 2085473125 |
Business Fax Number: | 2085470715 |
Mailing Address: | 801 S 1st E, GRACE |
State: | ID |
Postal Code: | 832415386 |
Phone Number: | 2084259199 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-1662 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |