MR. Jimmie Joe Wilson, PT

NPI #1053531939 in Joplin, Missouri

Provider Information

NPI Number: 1053531939
Entity Type: Individual
Name: MR. Jimmie Joe Wilson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2727 MC CLELLAND BLVD
City: Joplin
State: Missouri
ZIP Code: 64804-1626
Phone: (417) 625-2190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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