Jenna Sue Epperson in Tyler - Physical Therapy Assistant

Jenna Sue Epperson - NPI 1417149451

Jenna Sue Epperson is a Physical Therapy Assistant in Tyler, Texas. Jenna Sue Epperson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jenna Sue Epperson is 1417149451. The last update date is 2007-08-14.

Jenna Sue Epperson's current location address is 3505 Old Jacksonville Rd, Tyler, Texas. You can contact this provider via phone number 9035617835 and fax number 9035619878. The mailing address for Jenna Sue Epperson is 3505 Old Jacksonville Rd, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jenna Sue Epperson
Address 3505 Old Jacksonville Rd, Tyler, Texas
Phone Number 9035617835
Fax Number 9035619878
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1417149451
Provider Enumeration Date 2007-08-14
Last Updated Date 2007-08-14

Provider Mailing Address Detail

Address 3505 Old Jacksonville Rd
City Tyler
State Texas (TX)
Post Code 757018510
Phone Number 9035617835
Fax Number 9035619878

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2038750
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Jenna Sue Epperson

What is the unique 10-digit identification code issued to Jenna Sue Epperson by the Centers for Medicare & Medicaid Services?

The Jenna Sue Epperson has been assigned the NPI (National Provider Identifier) 1417149451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Jenna Sue Epperson located?

The Jenna Sue Epperson is located at 3505 Old Jacksonville Rd, Tyler, TX 757018510.

What is Jenna Sue Epperson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jenna Sue Epperson is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1417149451 to Jenna Sue Epperson?

The Centers for Medicare & Medicaid Services originally issued the 1417149451 to Jenna Sue Epperson on 2007-08-14.

As of what date was the information pertaining to Jenna Sue Epperson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jenna Sue Epperson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-14.

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