Organization Name: | BEAR LAKE PHYSICAL AND SPORTS THERAPY PC |
NPI Number: | 1992874440 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUTHANN M. JARMAN (MANAGER) |
Mailing Address: | 710 N 4th Street Montpelier |
State: | ID US |
Postal Code: | 832541086 |
Phone Number: | 2088471342 |
Fax Number: | 4357446066 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1256 |
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 |