Doctor Name: | JESSICA CHENEVERT |
NPI Number: | 1992733646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 06972 |
Business Practice Address: | 4463 Hwy 1 South Suite B Port Allen, LA - 70767 |
Business Phone Number: | 2257498980 |
Business Fax Number: | 2257499096 |
Mailing Address: | 11320 Industriplex Boulevard, BATON ROUGE |
State: | LA |
Postal Code: | 70809 |
Phone Number: | 2252958183 |
Fax Number: | 2257522937 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 05/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 06972 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |