Provider Demographics
NPI:1750454922
Name:WINT, JO JEAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:JO JEAN
Middle Name:
Last Name:WINT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JO JEAN
Other - Middle Name:
Other - Last Name:PARRISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:10102 JOHN ASHLEY CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-5867
Mailing Address - Country:US
Mailing Address - Phone:502-413-5502
Mailing Address - Fax:
Practice Address - Street 1:9510 ORMSBY STATION RD
Practice Address - Street 2:SUITE 100B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-4081
Practice Address - Country:US
Practice Address - Phone:502-753-5060
Practice Address - Fax:502-253-4144
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004739225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0980507Medicare ID - Type Unspecified