Provider Demographics
NPI:1952358731
Name:MEYERS-JONES, PATTI RUTH (MS, PT, CLT)
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:RUTH
Last Name:MEYERS-JONES
Suffix:
Gender:F
Credentials:MS, PT, CLT
Other - Prefix:
Other - First Name:PATTI
Other - Middle Name:RUTH
Other - Last Name:MEYERS-JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PT, CLT
Mailing Address - Street 1:PO BOX 226656
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75222-6656
Mailing Address - Country:US
Mailing Address - Phone:214-943-9431
Mailing Address - Fax:214-943-9407
Practice Address - Street 1:430 S TRADE DAYS BLVD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:TX
Practice Address - Zip Code:75103-3302
Practice Address - Country:US
Practice Address - Phone:903-567-6106
Practice Address - Fax:903-567-5115
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1223337225100000X
AR2557208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist