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ANDREW HAVERSTOCK NPI 1407074693


NPI Information

NPI: 1407074693
Provider Name: ANDREW HAVERSTOCK
Classification: Physical Therapist - 2251P0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
344 S WALNUT RIDGE CT
FRANKFORT, IL
ZIP 60423
Phone: (219) 229-0322
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Andrew Haverstock is a pediatrics physical therapist in Frankfort, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. Andrew Haverstock NPI is 1407074693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

344 S WALNUT RIDGE CT
FRANKFORT, IL
ZIP 60423-129
Phone: (219) 229-0322
Fax: (708) 479-2111

The enumeration date for this NPI number is 4/23/2007 and was last updated on 10/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical Therapist05007676AINDIANANo
2225100000XPhysical Therapist070012822ILLINOISNo
32251P0200XPhysical TherapistPediatrics070012822ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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