Doctor Name: | MR. CHRISTOPHER CLAY JENNESS |
NPI Number: | 1235113093 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 4701 |
Business Practice Address: | 3831 Denis Dr Suite 200 Casper, WY - 826044345 |
Business Phone Number: | 3072349067 |
Business Fax Number: | 3072349074 |
Mailing Address: | 3831 Denis Dr, Suite 200 CASPER |
State: | WY |
Postal Code: | 826044345 |
Phone Number: | 3072349067 |
Fax Number: | 3072349074 |
NPI Enumeration Date: | 12/05/2005 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |