MRS. LEA SHANNON JACUZZI DPT NPI 1649446279

NPI Information

NPI: 1649446279
Provider Name: MRS. LEA SHANNON JACUZZI, DPT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
9601 INTERSTATE 630 EXIT 7
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 202-7614
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MRS. Lea Shannon Jacuzzi, DPT is a specialist in Little Rock, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MRS. Lea Shannon Jacuzzi, DPT NPI is 1649446279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9601 INTERSTATE 630 EXIT 7
LITTLE ROCK, AR
ZIP 72205-202
Phone: (501) 202-7614

The enumeration date for this NPI number is 5/4/2008 and was last updated on 5/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		PT 2684	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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