Provider Demographics
NPI:1255109229
Name:JERL, INC.
Entity type:Organization
Organization Name:JERL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KETHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:512-858-5191
Mailing Address - Street 1:PO BOX 562
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-0562
Mailing Address - Country:US
Mailing Address - Phone:512-858-5191
Mailing Address - Fax:512-858-5194
Practice Address - Street 1:13830 SAWYER RANCH RD STE 300
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5514
Practice Address - Country:US
Practice Address - Phone:512-894-2194
Practice Address - Fax:512-829-4682
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JERL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy