Doctor Name: | JESSICA LANE YURTINUS |
NPI Number: | 1174504112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.P.T. |
License Number: | 1591 |
Business Practice Address: | 973 Mica Dr Suite 201 Carson City, NV - 897057255 |
Business Phone Number: | 7753923689 |
Business Fax Number: | 7757836191 |
Mailing Address: | 973 Mica Dr, Suite 201 CARSON CITY |
State: | NV |
Postal Code: | 897057255 |
Phone Number: | 7753923689 |
Fax Number: | 7757836191 |
NPI Enumeration Date: | 11/08/2005 |
NPI Last Update Date: | 10/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
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 |