Most Relevant Information
Provider Data
| NPI Number: | 1003293143 |
| Provider Name: | JENNIFER THEIS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1255271 |
Most Important Dates
| Enumeration Date: | 04/28/2015 |
| Last Updated: | 04/28/2015 |
Provider Practice Location
1507 BRISBANE DR
CARROLLTON
TX
750074311
Practice Location Phone/Fax
| Phone: | 4696849837 |
| Fax: |
Provider Mailing Location
1507 BRISBANE DR
CARROLLTON
TX
750074311
Provider Mailing Phone/Fax
| Phone: | 4696849837 |
| Fax: |