Individual
JAYMES MENNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17580 I-45 SOUTH, MONTGOMERY, TX 77384
(936) 267-7313
Mailing address
17580 I-45 SOUTH, MONTGOMERY, TX 77384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1162656
TX
2251P0200X
Pediatric Physical Therapist
Primary
1162656
TX
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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