Organization Name: | JEANICE AMY MITCHELL |
NPI Number: | 1356390793 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANICE AMY MITCHELL (OWNER) |
Mailing Address: | 5302 Janelle Drive Suite B Killeen |
State: | TX US |
Postal Code: | 76549 |
Phone Number: | 2546993933 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |