Doctor Name: | JEREMY JACK HARRISON |
NPI Number: | 1184912099 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1208786 |
Business Practice Address: | 1425 E Main St Ste. 600 Fredericksburg, TX - 786245330 |
Business Phone Number: | 8309902699 |
Business Fax Number: | 8309909088 |
Mailing Address: | 1425 E Main St, Ste. 600 FREDERICKSBURG |
State: | TX |
Postal Code: | 786245330 |
Phone Number: | 8309902699 |
Fax Number: | 8309909088 |
NPI Enumeration Date: | 07/12/2011 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1208786 |
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 |