Provider Demographics
NPI:1336779107
Name:ROBBINS, JASMINE DANIELLE
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:DANIELLE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2200 VAUGHN LAKES BLVD APT 2202
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-4162
Mailing Address - Country:US
Mailing Address - Phone:810-444-2705
Mailing Address - Fax:
Practice Address - Street 1:2200 VAUGHN LAKES BLVD APT 2202
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-4162
Practice Address - Country:US
Practice Address - Phone:810-444-2705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-21
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH9295225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist