Provider Demographics
NPI:1235460809
Name:COMMER, JAN C (DPT, PT)
Entity type:Individual
Prefix:
First Name:JAN
Middle Name:C
Last Name:COMMER
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:J. C.
Other - Middle Name:
Other - Last Name:COMMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:12952 BANDERA RD STE 107
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-4733
Mailing Address - Country:US
Mailing Address - Phone:210-314-1402
Mailing Address - Fax:210-530-1309
Practice Address - Street 1:21727 W INTERSTATE 10 STE 110
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257-2108
Practice Address - Country:US
Practice Address - Phone:210-314-1402
Practice Address - Fax:210-530-1309
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1137636225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist