Doctor Name: | ADAM JENNINGS |
NPI Number: | 1942600150 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PTL0012902 |
Business Practice Address: | 3676 Parker Blvd Suite 370 Pueblo, CO - 810082212 |
Business Phone Number: | 7195532209 |
Business Fax Number: | |
Mailing Address: | Po Box 9000, PUEBLO |
State: | CO |
Postal Code: | 810089000 |
Phone Number: | 7195532209 |
Fax Number: | |
NPI Enumeration Date: | 08/26/2014 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTL0012902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |