Doctor Name: | LARA BETH JONES |
NPI Number: | 1366568735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 2003025139 |
Business Practice Address: | 2005 N. Missouri St. Suite D. Macon, MO - 635520381 |
Business Phone Number: | 6603856540 |
Business Fax Number: | 6603856542 |
Mailing Address: | 2906 Shelby 226, LEONARD |
State: | MO |
Postal Code: | 634512423 |
Phone Number: | 6607624630 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2003025139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |