Doctor Name: | JENNETTE HIBBS |
NPI Number: | 1033575493 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | PT-1614 |
Business Practice Address: | 2900 Charlevoix Dr Se Ste 200 Grand Rapids, MI - 495467085 |
Business Phone Number: | 8883258064 |
Business Fax Number: | |
Mailing Address: | 800 Oak Knoll Dr, MOUNTAIN HOME |
State: | AR |
Postal Code: | 726532155 |
Phone Number: | 8704050742 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2016 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-1614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |