Individual
JANIS LEE MISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3195 STILLWATER DR, STE A, PRESCOTT, AZ 86305-7171
(928) 777-9327
(928) 771-9519
Mailing address
3195 STILLWATER DR, STE A, PRESCOTT, AZ 86305-7171
(928) 771-9327
(928) 771-9519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
303
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
781410
—
AZ
Enumeration date
12/19/2005
Last updated
09/05/2012
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