Provider Demographics
NPI:1679899520
Name:JONES, SHYANNE RAINELLE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:SHYANNE
Middle Name:RAINELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:28977 WALKER SOUTH RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-6049
Mailing Address - Country:US
Mailing Address - Phone:225-271-8056
Mailing Address - Fax:225-271-8057
Practice Address - Street 1:28977 WALKER SOUTH RD
Practice Address - Street 2:SUITE G
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-6049
Practice Address - Country:US
Practice Address - Phone:225-271-8056
Practice Address - Fax:225-271-8057
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-18
Last Update Date:2010-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA06353225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist