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Kevin Thomas White, MPT
Orthopedic Physical Therapist in Petaluma, California
NPI 1245310549

Kevin Thomas White is a Orthopedic Physical Therapist based in Petaluma, CA and is specialized in Orthopedic. Kevin Thomas White practices in Petaluma, CA and has the professional credentials of MPT. The NPI Number for Kevin Thomas White is 1245310549 and holds a License No. PT18789 (California).

The current practice location address for Kevin Thomas White is 169 Lynch Creek Way, Petaluma, CA and can be reached out via phone at 707-763-0115 and via fax at 707-763-2130.

Location: 169 Lynch Creek Way, Petaluma, CA, 94952-5742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245310549
Provider Name
Kevin Thomas White
Credential
MPT
Provider Entity Type
Individual
Gender
Male
Address
169 Lynch Creek Way, Petaluma, CA, 94952-5742
Phone Number
707-763-0115
Fax Number
707-763-2130
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT18789 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
169 Lynch Creek Way
City
Petaluma
State
California
Zip
94954-2344
Phone Number
707-763-0115
Fax Number
707-763-2130
person
Provider Business Mailing Address Details
Address
169 Lynch Creek Way
City
Petaluma
State
California
Zip
94954-2344
Phone Number
707-763-0115
Fax Number
707-763-2130
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
PT18789 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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