Provider Demographics
NPI:1841582012
Name:VINSON, JEANNE K (PT, DPT, NCS)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:K
Last Name:VINSON
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:K
Other - Last Name:BATTLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:13831 N US HIGHWAY 183
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1202
Mailing Address - Country:US
Mailing Address - Phone:512-250-0424
Mailing Address - Fax:
Practice Address - Street 1:13831 N US HIGHWAY 183
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1202
Practice Address - Country:US
Practice Address - Phone:512-250-0424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1200558225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist