Doctor Name: | JEANIE ROSS |
NPI Number: | 1235371121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 002048 |
Business Practice Address: | 141 Stonecrest Rd Ste 2 Shelbyville, KY - 400658166 |
Business Phone Number: | 5026470133 |
Business Fax Number: | 5026470138 |
Mailing Address: | 624 Ashbourne Dr, SHELBYVILLE |
State: | KY |
Postal Code: | 400657394 |
Phone Number: | 5026477307 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2009 |
NPI Last Update Date: | 03/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 002048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |