Provider Demographics
NPI:1508096298
Name:JONES, KATHERINE JACOBS (PT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JACOBS
Last Name:JONES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2069
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77522-2069
Mailing Address - Country:US
Mailing Address - Phone:281-837-0212
Mailing Address - Fax:281-837-0670
Practice Address - Street 1:11422 SOUTHWEST FWY
Practice Address - Street 2:SUITE 500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-3617
Practice Address - Country:US
Practice Address - Phone:281-575-6900
Practice Address - Fax:281-575-6939
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1158850225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist