Doctor Name: | DR. BRIAN EDWARD JANS |
NPI Number: | 1497971964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 6646 |
Business Practice Address: | 450 N Hyatt St Suite 102 Tipp City, OH - 453711433 |
Business Phone Number: | 9374407152 |
Business Fax Number: | |
Mailing Address: | 5833 Allen Park Dr, TIPP CITY |
State: | OH |
Postal Code: | 453718969 |
Phone Number: | 9376670907 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 6646 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |