Doctor Name: | JERRA MCMATH |
NPI Number: | 1699144683 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4661 |
Business Practice Address: | 2217 Dillon Rd Clovis, NM - 881019454 |
Business Phone Number: | 5757697356 |
Business Fax Number: | |
Mailing Address: | 2928 Lisa Ave, CLOVIS |
State: | NM |
Postal Code: | 881013214 |
Phone Number: | 5053624769 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2015 |
NPI Last Update Date: | 09/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |