Provider Demographics
NPI:1558029611
Name:JONES, BRETT THOMAS (DPT)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:THOMAS
Last Name:JONES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 E REYNOLDS DR
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-2817
Mailing Address - Country:US
Mailing Address - Phone:318-224-9148
Mailing Address - Fax:318-314-2059
Practice Address - Street 1:304 E REYNOLDS DR
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-2817
Practice Address - Country:US
Practice Address - Phone:318-224-9148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist