| Doctor Name: | JEFFREY KENT LONGINO |
| NPI Number: | 1194952465 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICAL THERAPIST |
| License Number: | 1187388 |
| Business Practice Address: | 555 Republic Dr Ste 200 Plano, TX - 750745469 |
| Business Phone Number: | 9725164249 |
| Business Fax Number: | 9725164251 |
| Mailing Address: | 5713 Saint Thomas Dr, PLANO |
| State: | TX |
| Postal Code: | 750944618 |
| Phone Number: | 4692880018 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2009 |
| NPI Last Update Date: | 06/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1187388 |
| 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 |