Doctor Name: | SUSAN J TAVES |
NPI Number: | 1932476306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT00009631 |
Business Practice Address: | 311 Ne 3rd St Coupeville, WA - 982393427 |
Business Phone Number: | 3603216660 |
Business Fax Number: | |
Mailing Address: | Po Box 1426, 2554 Brainers Road LANGLEY |
State: | WA |
Postal Code: | 982601426 |
Phone Number: | 3607301440 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2011 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00009631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |