Doctor Name: | JOHN MATTHEW JANES |
NPI Number: | 1124024385 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, MHS, OCS |
License Number: | PT-003331 |
Business Practice Address: | 710 Executive Park Louisville, KY - 402074207 |
Business Phone Number: | 5028954213 |
Business Fax Number: | 5028977454 |
Mailing Address: | 47 Osage Trl, LOUISVILLE |
State: | KY |
Postal Code: | 402457019 |
Phone Number: | 5022130011 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT-003331 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |