NPI 1013781186

Jasmine Elise Watson, PTA

Practitioner Physical Therapy Assistant Davenport, IA

Practice location

Address: 5901 Elmore Ave APT T11, Davenport, IA 52807-3622
Phone: (404) 375-0242

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 122411 (IA)

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Registry record

NPI: 1013781186
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2023
Record last updated: 9 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.