Doctor Name: | DEANNA JEAN MINNER |
NPI Number: | 1073555843 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 1167070 |
Business Practice Address: | 12412 Judson Rd Live Oak, TX - 782333255 |
Business Phone Number: | 2106465074 |
Business Fax Number: | |
Mailing Address: | 12900 E Loop 1604 N, Apt 713 UNIVERSAL CITY |
State: | TX |
Postal Code: | 781483169 |
Phone Number: | 2105668569 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1167070 |
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 |