Most Relevant Information
Provider Data
| NPI Number: | 1003529611 |
| Provider Name: | JESSIE MICHELLE YORK PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A8212 |
Most Important Dates
| Enumeration Date: | 12/28/2022 |
| Last Updated: | 12/28/2022 |
Provider Practice Location
746 ALPINE DR
KERRVILLE
TX
780282502
Practice Location Phone/Fax
| Phone: | 8308962323 |
| Fax: |
Provider Mailing Location
7020 MONROE HWY APT A
BALL
LA
714053209
Provider Mailing Phone/Fax
| Phone: | 3184510166 |
| Fax: |