Doctor Name: | MRS. JODI LEE WEST |
NPI Number: | 1386806776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05001907A |
Business Practice Address: | 1111 North Ronald Reagan Parkway Mg214 Avon, IN - 46123 |
Business Phone Number: | 3172173070 |
Business Fax Number: | 3172173073 |
Mailing Address: | 3302 Timberbrook Ct, DANVILLE |
State: | IN |
Postal Code: | 461228515 |
Phone Number: | 3178923537 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2008 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05001907A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |