NPI 1124625082

Jessica Ann Watts, PTA

Practitioner Physical Therapy Assistant Carbondale, IL

Practice location

Address: 120 N Tower Rd, Carbondale, IL 62901-1929
Phone: (618) 549-3355
Mailing address: 2355 Dr Springs Rd, Carterville, IL 62918-3115

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 160008096 (IL)

Other Physical Therapy Assistant providers in Illinois →

Registry record

NPI: 1124625082
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2020
Record last updated: 5 Oct 2020

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.