Healthcare Provider Details

I. General information

NPI: 1871000927
Provider Name (Legal Business Name): MARY JAZMA DOBBINS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2018
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 LUMBLEY RD
RAINBOW CITY AL
35906-9026
US

IV. Provider business mailing address

2425 LUMBLEY RD
RAINBOW CITY AL
35906-9026
US

V. Phone/Fax

Practice location:
  • Phone: 256-467-3057
  • Fax: 256-255-2184
Mailing address:
  • Phone: 256-467-3057
  • Fax: 256-255-2184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH8754
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: