Individual ProviderJeannie WellsPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 858-7643(904) 262-7702PECOS EnrollmentBased on the most recent information from CMS, provider Jeannie Wells does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1962603035Provider TypeIndividualFull NameWells, JeannieTitleMs.CredentialMPTGenderFemaleSole ProprietorNoEnumeration Date5/29/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 858-7643FaxUnlisted FaxMailing LocationMailing Address5852 Pavilion Dr, Jacksonville, FL 32258-5477Phone(904) 262-7702FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT17859Florida