Doctor Name: | JESSA MATT |
NPI Number: | 1639592652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 013456 |
Business Practice Address: | 1015 Osprey Ct Apt 3 Marquette, MI - 498558868 |
Business Phone Number: | 2165135950 |
Business Fax Number: | |
Mailing Address: | 1015 Osprey Ct Apt 3, MARQUETTE |
State: | MI |
Postal Code: | 498558868 |
Phone Number: | 2165135950 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2014 |
NPI Last Update Date: | 01/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 013456 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
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 |