| Doctor Name: | JESSICA NICHOLE WELLS |
| NPI Number: | 1053694752 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 1206901 |
| Business Practice Address: | 1000 Saint Louis Ave Suite 102 Fort Worth, TX - 761043366 |
| Business Phone Number: | 8179215020 |
| Business Fax Number: | 8179215022 |
| Mailing Address: | 305 Ne Loop 280; Business Tower 1, Suite 200 HURST |
| State: | TX |
| Postal Code: | 76053 |
| Phone Number: | 8172928787 |
| Fax Number: | 8177896849 |
| NPI Enumeration Date: | 09/20/2011 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1206901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |