Provider Demographics
NPI:1932423738
Name:COUEY, JAMIE M (DPT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:M
Last Name:COUEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5100 W ELDORADO PKWY
Mailing Address - Street 2:#102-20 VRM
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6510
Mailing Address - Country:US
Mailing Address - Phone:972-681-1155
Mailing Address - Fax:972-681-3575
Practice Address - Street 1:2758 N GALLOWAY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6380
Practice Address - Country:US
Practice Address - Phone:972-681-1155
Practice Address - Fax:972-681-3575
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1194988225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist