Individual provider · Type 1 NPI
Jissa Thayil
Geriatric Physical Therapist · Georgetown, TX
Practice location
2406 Brookhollow Ter
Georgetown, TX 78626-7684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 1165213 (TX) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
About NPI 1104306257
Jissa Thayil's National Provider Identifier is 1104306257, issued on Aug 17, 2018. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Georgetown, TX. The record was last updated on Aug 17, 2018.