Provider Demographics
NPI:1215694179
Name:HESTER, JANE THOMPSON (MSPT)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:THOMPSON
Last Name:HESTER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-6030
Mailing Address - Country:US
Mailing Address - Phone:336-209-8448
Mailing Address - Fax:
Practice Address - Street 1:4469 VERANDA LAKE CT
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-9243
Practice Address - Country:US
Practice Address - Phone:336-662-3737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-25
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP2011225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist