Healthcare Provider Details

I. General information

NPI: 1689721359
Provider Name (Legal Business Name): JAMES D. THURMAN P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 03/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7170 CARMEL VALLEY RD
CARMEL CA
93923-9525
US

IV. Provider business mailing address

7170 CARMEL VALLEY RD
CARMEL CA
93923-9525
US

V. Phone/Fax

Practice location:
  • Phone: 831-626-6631
  • Fax: 831-626-6632
Mailing address:
  • Phone: 831-626-6631
  • Fax: 831-626-6632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13297
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: