Provider Demographics
NPI:1841609930
Name:JONES, JANET LEE (DPT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:LEE
Other - Last Name:POOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 BELLEHURST DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-3915
Mailing Address - Country:US
Mailing Address - Phone:334-430-0630
Mailing Address - Fax:
Practice Address - Street 1:217 BELLEHURST DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-3915
Practice Address - Country:US
Practice Address - Phone:334-430-0630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-04796225100000X
FLPT31563225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist