MRS. RADONNA MARIE THIES-JERNIGAN CTRS TRS/TXC NPI 1497700025

NPI Information

NPI: 1497700025
Provider Name: MRS. RADONNA MARIE THIES-JERNIGAN, CTRS, TRS/TXC
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
7400 MERTON MINTER ST
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 617-5300
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MRS. Radonna Marie Thies-jernigan, CTRS, TRS/TXC is a recreation therapist in San Antonio, TX. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MRS. Radonna Marie Thies-jernigan, CTRS, TRS/TXC NPI is 1497700025. 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:

7400 MERTON MINTER ST
SAN ANTONIO, TX
ZIP 78229-404
Phone: (210) 617-5300
Fax: (210) 617-5337

The enumeration date for this NPI number is 5/23/2006 and was last updated on 5/6/2021.

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	225800000X	Recreation Therapist		14062	NEW YORK	No
2	1041C0700X	Social Worker	Clinical	61378	TEXAS	No
3	225800000X	Recreation Therapist		0238	TEXAS	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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