Provider Demographics
NPI:1588015226
Name:TEEMS, JEFFERY (LPTA)
Entity Type:Individual
Prefix:
First Name:JEFFERY
Middle Name:
Last Name:TEEMS
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 6TH AVE S
Mailing Address - Street 2:R385
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-7210
Mailing Address - Country:US
Mailing Address - Phone:205-975-4922
Mailing Address - Fax:205-934-7420
Practice Address - Street 1:1717 6TH AVE S
Practice Address - Street 2:R385
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-7210
Practice Address - Country:US
Practice Address - Phone:205-975-4922
Practice Address - Fax:205-934-7420
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTA1145225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant