Provider Demographics
NPI:1760794358
Name:AMONETTE, JENNY LOUISE (PT, NCS)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:LOUISE
Last Name:AMONETTE
Suffix:
Gender:F
Credentials:PT, NCS
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:LOUISE
Other - Last Name:ENGLISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17326 HIGHWAY 3
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4133
Mailing Address - Country:US
Mailing Address - Phone:281-332-3000
Mailing Address - Fax:281-332-9171
Practice Address - Street 1:17326 HIGHWAY 3
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4133
Practice Address - Country:US
Practice Address - Phone:281-332-3000
Practice Address - Fax:281-332-9171
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1172543225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist