Jill Whatley

NPI #1831692268 in Longview, Texas

Provider Information

NPI Number: 1831692268
Entity Type: Individual
Name: Jill Whatley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 12, 2018
Last Updated: Mar 12, 2018

Practice Location

Address: 1703 CLEARWOOD DR
City: Longview
State: Texas
ZIP Code: 75604-4414
Phone: (903) 241-5822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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