Organization Name: | JASPER PHYSICAL THERAPY, LLC |
NPI Number: | 1932118866 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA T POTTER (OWNER) |
Mailing Address: | 620 J L White Dr Suite 110 Jasper |
State: | GA US |
Postal Code: | 301434896 |
Phone Number: | 7066929080 |
Fax Number: | 7066921199 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |