Individual provider · Type 1 NPI

Mary B. Jesse

Orthopedic Physical Therapist · Decatur, IL

NPI number 1750697033 Active

Practice location

1830 S 44th St
Decatur, IL 62521-5147

Mailing address

205 W Wall St
Moweaqua, IL 62550-1151

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X070007130 (IL)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1750697033

Mary B. Jesse's National Provider Identifier is 1750697033, issued on Aug 25, 2010. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Decatur, IL. The record was last updated on Aug 26, 2010.