Provider Demographics
NPI:1083823991
Name:FUNCTIONAL ERGONOMICS, INC.
Entity Type:Organization
Organization Name:FUNCTIONAL ERGONOMICS, INC.
Other - Org Name:FUNCTIONAL ERGONOMICS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:B
Authorized Official - Last Name:TRAUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-303-3474
Mailing Address - Street 1:9530 HAGEMAN RD
Mailing Address - Street 2:SUITE B, #291
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-3959
Mailing Address - Country:US
Mailing Address - Phone:661-303-3474
Mailing Address - Fax:661-328-0791
Practice Address - Street 1:4200 TRUXTUN AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0694
Practice Address - Country:US
Practice Address - Phone:661-328-0692
Practice Address - Fax:661-328-0791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapistGroup - Single Specialty