Jesse Veris Mullins, PTA

NPI #1316148158 in Trinidad, Colorado

Provider Information

NPI Number
1316148158
Entity Type
Individual
Name
Jesse Veris Mullins, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 30, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
410 BENEDICTA AVE
ZIP Code
81082-2005
Phone
(719) 846-8072

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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