Doctor Name: | MR. JEREMY LAYNE OWENS |
NPI Number: | 1316021496 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | 1151201 |
Business Practice Address: | 3414 Golden Road Tyler, TX - 757018336 |
Business Phone Number: | 9039397552 |
Business Fax Number: | 9035310192 |
Mailing Address: | Po Box 130189, TYLER |
State: | TX |
Postal Code: | 757130189 |
Phone Number: | 9039397552 |
Fax Number: | 9035310192 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1151201 |
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 |