Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 04778F | LA |
N | 2251C2600X | Cardiopulmonary | 04778F | LA |
N | 2251E1200X | Ergonomics | 04778F | LA |
N | 225XE1200X | Ergonomics | 04778F | LA |
N | 2251E1300X | Electrophysiology, Clinical | 04778F | LA |
Y | 2251G0304X | Physical Therapist - Geriatrics | 04778F | LA |
N | 2251H1200X | Hand | 04778F | LA |
N | 2251H1300X | Human Factors | 04778F | LA |
N | 225XH1300X | Human Factors | 04778F | LA |
N | 2251N0400X | Physical Therapist - Neurology | 04778F | LA |
N | 2251P0200X | Physical Therapist - Pediatrics | 04778F | LA |
N | 2251S0007X | Physical Therapist - Sports | 04778F | LA |
N | 2251X0800X | Physical Therapist - Orthopedic | 04778F | LA |
NPI | 1871785105 |
---|---|
Provider Name | Ian Dexter Kho |
First Address | Alexandria, LA 71303-2230 |
Second Address | Alexandria, LA 71303-2230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2007 |
Last Update Date | 10/08/2007 |