Doctor Name: | MRS. JESSICA D CHANEY |
NPI Number: | 1922310820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2010022729 |
Business Practice Address: | 5780 Osage Beach Pkwy Suite 220 Osage Beach, MO - 650653188 |
Business Phone Number: | 5736939128 |
Business Fax Number: | 5736939136 |
Mailing Address: | 303 N Keene St, Suite 102 COLUMBIA |
State: | MO |
Postal Code: | 652017193 |
Phone Number: | 5734430225 |
Fax Number: | 5734430290 |
NPI Enumeration Date: | 07/08/2010 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2010022729 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |