Doctor Name: | JENNIFER LYNN MAKI |
NPI Number: | 1871589895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | |
Business Practice Address: | 6531 N Landmark Dr Suite E Park City, UT - 840985951 |
Business Phone Number: | 4356497335 |
Business Fax Number: | |
Mailing Address: | 9775 Silver Creek Rd, PARK CITY |
State: | UT |
Postal Code: | 840985650 |
Phone Number: | 7196595973 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2005 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
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 |