Doctor Name: | MR. CLARK KEVIN COLE |
NPI Number: | 1972617306 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPTIST |
License Number: | 1078459 |
Business Practice Address: | 1005 Ne Big Bend Trl Suite 3 Glen Rose, TX - 760434942 |
Business Phone Number: | 2548982121 |
Business Fax Number: | 2548981616 |
Mailing Address: | Po Box 292, GLEN ROSE |
State: | TX |
Postal Code: | 760430292 |
Phone Number: | 2548982121 |
Fax Number: | 2548981616 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1078459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |