Individual provider · NPI-1

Dr. Jennifer Banks, DPT, ATC

Physical Therapist · Joplin, MO

NPI number1952909756
StatusActive
Last updated in NPPESOct 14, 2020

Details

NPI
1952909756
Entity type
Individual (NPI-1)
Name
Dr. Jennifer Banks
Credential
DPT, ATC
Sex
Female
Sole proprietor
No
Enumeration date
Oct 14, 2020
Certification date
Oct 7, 2020
Last updated
Oct 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2011007295MOYes

Practice location

219 W 2nd St
Joplin, MO 64801-2507

Phone 314-283-4410

Mailing address

613 W 9th St
Webb City, MO 64870-2235

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