Individual
JESSICA MARIE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
220 W LOCKWOOD AVE STE 103, WEBSTER GROVES, MO 63119-2353
(314) 962-6015
Mailing address
1605 WESTGATE CIR STE 100, BRENTWOOD, TN 37027-8396
(844) 266-4622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018003450
MO
Other
Enumeration date
02/12/2018
Last updated
12/08/2022
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