Jaclyn Berry in Fort Walton Beach - Physical Therapist
Jaclyn Berry - NPI 1093916660
Jaclyn Berry is a Physical Therapist in Fort Walton Beach, Florida. Jaclyn Berry practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jaclyn Berry is 1093916660. The last update date is 2007-07-08.
Jaclyn Berry's current location address is 928 Mar Walt Drive Ste 104, Fort Walton Beach, Florida. You can contact this provider via phone number 8508634747. The mailing address for Jaclyn Berry is 928 Mar Walt Drive Ste 104, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn Berry |
|---|---|
| Address | 928 Mar Walt Drive Ste 104, Fort Walton Beach, Florida |
| Phone Number | 8508634747 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1093916660 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 928 Mar Walt Drive Ste 104 |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 32547 |
| Phone Number | 8508634747 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22656 | AL | LICENSE# |
Post Comment/ Review Below
What is the Jaclyn Berry's 1093916660?
The Jaclyn Berry's NPI (National Provider Identifier) Number is 1093916660. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jaclyn Berry's facilities are situated?
The facilities of Jaclyn Berry are physically located at the following address: 928 Mar Walt Drive Ste 104, Fort Walton Beach, FL, 32547.
What is the Jaclyn Berry's area of specialization and corresponding taxonomy classification?
The Jaclyn Berry's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1093916660 to Jaclyn Berry?
The Jaclyn Berry received its 1093916660 assignment from the Centers for Medicare & Medicaid Services on 2007-05-30.
When was the information regarding Jaclyn Berry most recently updated?
The details pertaining to the Jaclyn Berry, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.