Doctor Name: | JENNIFER PEHL |
NPI Number: | 1659701795 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, ATC |
License Number: | 1157263 |
Business Practice Address: | 800 W Highway 71 Marble Falls, TX - 786548602 |
Business Phone Number: | 8302017141 |
Business Fax Number: | |
Mailing Address: | 200 W Ollie St, LLANO |
State: | TX |
Postal Code: | 786432628 |
Phone Number: | 8302017141 |
Fax Number: | 8302017143 |
NPI Enumeration Date: | 11/26/2013 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1157263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |