Basic Information
| Provider Information | |||||||||
| NPI: | 1831353887 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | CHANTEL | ||||||||
| MiddleName: | MONIQUE | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7040 GADSDEN HWY | ||||||||
| Address2: | STE 100 | ||||||||
| City: | TRUSSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 351732666 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2057552778 | ||||||||
| FaxNumber: | 2058768063 | ||||||||
| Practice Location | |||||||||
| Address1: | 1600 5TH AVE. SOUTH | ||||||||
| Address2: | PARK PLACE - 4TH FLOOR | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35233 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059395786 | ||||||||
| FaxNumber: | 2059396063 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2008 | ||||||||
| LastUpdateDate: | 01/16/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PTH5276 | AL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.