| J&l Wilson Enterprises Llc | |
|
25465 Leffen Ln, Joplin, MO 64801-6366 | |
| (417) 529-7693 | |
| Not Available |
| Full Name | J&l Wilson Enterprises Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 25465 Leffen Ln, Joplin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346966017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jimmie Joe Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053531939 PECOS PAC ID: 6002283322 Enrollment ID: I20221031001503 |
| Mailing Address | Practice Location Address |
|---|---|
| J&l Wilson Enterprises Llc 25465 Leffen Ln, Joplin, MO 64801-6366 Ph: (417) 529-7693 | J&l Wilson Enterprises Llc 25465 Leffen Ln, Joplin, MO 64801-6366 Ph: (417) 529-7693 |
Ms. Marie Shireman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 Mc Clelland Blvd, Joplin, MO 64804 Phone: 417-781-2727 | |
Ma. Estela Lopez Ortaleza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 E 34th St, Joplin, MO 64804 Phone: 417-781-1737 | |
Mr. Jimmie Joe Wilson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2727 Mc Clelland Blvd, Joplin, MO 64804 Phone: 417-625-2190 Fax: 417-625-2097 | |
Mr. Emmanuel Fernandez, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 W 5th St, Suite D & E, Joplin, MO 64801 Phone: 417-782-2917 | |
Trent Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E 32nd St, Ste 7, Joplin, MO 64804 Phone: 417-624-7400 Fax: 417-624-7403 | |
Mr. William Ellerd Dierks, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Mc Clelland Blvd, Suite 101, Joplin, MO 64804 Phone: 417-623-5560 Fax: 417-634-5740 | |
Stacy Michelle Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E 32nd St Ste 7, Joplin, MO 64804 Phone: 417-624-7400 Fax: 417-624-7403 |