Mrs. Jill K Petry
Physical Therapy Assistant
100 E Vine St
Murfreesboro
, Tennessee 37130-3734
Mrs. Jill K Petry
Physical Therapy Assistant
100 E Vine St
Murfreesboro
, Tennessee 37130-3734
(636) 346-7501
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Jill K Petry
- 2024 Archway Dr
- Wentzville, MO
- Zip : 63385-2661
- Phone : (636) 346-7501
Second Address
- Mrs. Jill K Petry
- 100 E Vine St
- Murfreesboro, TN
- Zip : 37130-3734
- Phone : (888) 508-6778
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2005017813 | MO |
National Provider Identifier
| NPI | 1013009539 |
|---|---|
| Provider Name | Mrs. Jill K Petry |
| First Address | Wentzville, MO 63385-2661 |
| Second Address | Murfreesboro, TN 37130-3734 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.