Jennifer Theis, PT

NPI #1003293143 in Carrollton, Texas

Provider Information

NPI Number: 1003293143
Entity Type: Individual
Name: Jennifer Theis, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 28, 2015
Last Updated: Apr 28, 2015

Practice Location

Address: 1507 BRISBANE DR
City: Carrollton
State: Texas
ZIP Code: 75007-4311
Phone: (469) 684-9837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Massage Therapist	225700000X

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