NPI 1053531939

Jimmie Joe Wilson, PT

Practitioner Physical Therapist Joplin, MO

Practice location

Address: 2727 Mc Clelland Blvd, Joplin, MO 64804-1626
Phone: (417) 625-2190
Fax: (417) 625-2097
Mailing address: 25465 Leffen Ln, Joplin, MO 64801-6366

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 110637 (MO)

Other Physical Therapist providers in Missouri →

Registry record

NPI: 1053531939
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2007
Record last updated: 8 Jul 2007

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.