Doctor Name: | JACQUELINE JEAN WELLER |
NPI Number: | 1083731855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 416 |
Business Practice Address: | 11623 Arbor St Omaha, NE - 681442981 |
Business Phone Number: | 4023346064 |
Business Fax Number: | 4023346080 |
Mailing Address: | 61 Cuna Way, RED FEATHER LAKES |
State: | CO |
Postal Code: | 805458847 |
Phone Number: | 9704817886 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 416 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |