| Doctor Name: | DR. JERRI DAWN ROBERTSON |
| NPI Number: | 1407070816 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 2006018426 |
| Business Practice Address: | 901 Kidwell Dr Versailles, MO - 650841784 |
| Business Phone Number: | 5733784666 |
| Business Fax Number: | |
| Mailing Address: | 901 Kidwell Dr, VERSAILLES |
| State: | MO |
| Postal Code: | 650841784 |
| Phone Number: | 5733784666 |
| Fax Number: | 5733785099 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 06/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 2006018426 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |