MEDICARE: KATRINA JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1187963	TX

General Provider Information

NPI Number	:	1811326259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA JONES

Provider Business Mailing Address
First Line	:	2714 SHADY GROVE DR
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-4202
Country	:	US
Telephone Number	:	214-543-8310
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 E LAMAR BLVD
Second Line	:	UNIT 200
City	:	ARLINGTON
State	:	TX
Zip	:	76006-7349
Country	:	US
Telephone Number	:	817-203-2622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2013
Last Update Date	:	04/19/2016

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Directions to “ KATRINA JONES ” Practice Location

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