Doctor Name: | JEREMY KENT STROUP |
NPI Number: | 1942295498 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT011814L |
Business Practice Address: | 3200 Fairway Dr Altoona, PA - 166024458 |
Business Phone Number: | 8149417708 |
Business Fax Number: | 8149417715 |
Mailing Address: | 310 Penn Street, Suite 103 HOLLIDAYSBURG |
State: | PA |
Postal Code: | 16648 |
Phone Number: | 8146952923 |
Fax Number: | 8146952924 |
NPI Enumeration Date: | 09/12/2005 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT011814L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |