Provider Demographics
NPI:1922394832
Name:JAMMER, SLOANE NICOLE (DPT)
Entity Type:Individual
Prefix:
First Name:SLOANE
Middle Name:NICOLE
Last Name:JAMMER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8955 HIGHWAY 6 N STE 190
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2321
Mailing Address - Country:US
Mailing Address - Phone:832-593-8600
Mailing Address - Fax:832-593-8601
Practice Address - Street 1:8955 HIGHWAY 6 N STE 190
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2321
Practice Address - Country:US
Practice Address - Phone:832-593-8600
Practice Address - Fax:832-593-8601
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1206198225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist