Provider Demographics
NPI:1760151856
Name:MCAULEY, JASMINE (DPT)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:MCAULEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:1891- 2 CAPITAL CIRCLE NE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308
Mailing Address - Country:US
Mailing Address - Phone:850-877-8855
Mailing Address - Fax:
Practice Address - Street 1:1891- 2 CAPITAL CIRCLE NE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308
Practice Address - Country:US
Practice Address - Phone:850-877-8855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist