Susan Caroline Jones, PT
Individual provider Active NPI Physical Therapist · Dexter, MO
NPI 1134498736 · NPPES record last updated Dec 28, 2011
Key facts
- NPI
- 1134498736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 115696 (MO)
- Practice address
- 913 West Business Hwy 60
Dexter, MO 63841 - Phone
- (573) 624-6405
- Fax
- (573) 624-6314
- NPI assigned
- Dec 28, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115696 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 115696 | MO | Yes |
Addresses
Primary practice location
913 West Business Hwy 60
Dexter, MO 63841
Mailing address
913 West Business Hwy 60
Dexter, MO 63841
Phone (573) 624-6405
Other names
- Susan Caroline Tennison
Other providers in Dexter, MO
- Reza Jalal
- Zulekha Safiya Jalal
- James Larry Warren
- Laurie Muriel Jibben
- Robert J Jibben
- Brandi Nichole Juden
- William T Kane
- Samantha Lee Karmas
- Misty Kaufman
- Aaron V Koehler
All providers in Dexter, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.