Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | ||
N | 2251G0304X | Physical Therapist - Geriatrics | ||
N | 2251P0200X | Physical Therapist - Pediatrics | ||
N | 2251S0007X | Physical Therapist - Sports | ||
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1487022638 |
---|---|
Provider Name | Joe Eissler |
First Address | San Marcos, TX 78666-2361 |
Second Address | Wimberley, TX 78676-0019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2015 |
Last Update Date | 04/09/2015 |