Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER MARIE FABRE FAIRLEY, P.T. PH.D. CSCS

Active

MRS. JENNIFER MARIE FABRE FAIRLEY, P.T. PH.D. CSCS is a Physical Therapy Assistant healthcare provider located in MANDEVILLE, Louisiana. NPI 1700881133 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MANDEVILLE, LA

Registration Details

NPI Number: 1700881133
Provider Type: Individual
Gender: Female
NPI Issued: Jun 13, 2005 (21.13790816661 yrs)
Last Updated: Sep 14, 2022
Licenses: 04964 (LA)

4135 (NM)

Practice Information

Address: 1901 HIGHWAY 190 STE 26

MANDEVILLE, LA, 704483495
Browse LA providers · Browse ZIP 70448
Phone: 9857782282
Fax: 8667678329
Primary Specialty: Physical Therapy Assistant
225100000X
Additional Specialty: Physical Therapy Assistant

Other Physical Therapy Assistant Providers in MANDEVILLE, LA

Name	Credential	NPI
MRS. YANCEY RIZZO MCWILLIAMS	PT	1093783128
MR. JOSEPH F ZIMMERMAN III	PT	1629037056
MR. SHAWN D SKINNER	PT	1356304919
JOAN E BURGA	PT	1306897632
MARGARET LOVE THOMASON	PT, DPT	1154373926
AMY LYN SNYDER	PT	1588604037

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.