Organization · Type 2 NPI

Protailored Physical Therapy LLC

Orthopedic Physical Therapist · Fort Wayne, IN

NPI number 1063805042 Active

Practice location

12722 Tonkel Rd Ste 102
Fort Wayne, IN 46845-8201

Call (260) 739-0300 Map

Fax (260) 818-2299

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X05011654A (IN)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1063805042

Protailored Physical Therapy LLC's National Provider Identifier is 1063805042, issued on Mar 14, 2015. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 1, 2020.