Jerry Wayne Manning in Russellville - Physical Therapist
Jerry Wayne Manning - NPI 1043207525
Jerry Wayne Manning is a Physical Therapist in Russellville, Arkansas. Jerry Wayne Manning practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jerry Wayne Manning is 1043207525. The last update date is 2023-09-19.
Jerry Wayne Manning's current location address is 3016 W Main St Ste 200, Russellville, Arkansas. You can contact this provider via phone number 4799679657 and fax number 4799679658. The mailing address for Jerry Wayne Manning is 3016 W Main St Ste 200, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Wayne Manning |
|---|---|
| Address | 3016 W Main St Ste 200, Russellville, Arkansas |
| Phone Number | 4799679657 |
| Fax Number | 4799679658 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1043207525 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2023-09-19 |
Provider Mailing Address Detail
| Address | 3016 W Main St Ste 200 |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728012453 |
| Phone Number | 4799679657 |
| Fax Number | 4799679658 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 04847R |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1139955 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry Wayne Manning by the Centers for Medicare & Medicaid Services?
The Jerry Wayne Manning has been issued the NPI (National Provider Identifier) 1043207525 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jerry Wayne Manning's facilities are geographically located?
The facilities of Jerry Wayne Manning are physically situated at the following location: 3016 W Main St Ste 200, Russellville, AR, 728012453.
What is Jerry Wayne Manning's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry Wayne Manning's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
When was the Jerry Wayne Manning's 1043207525 issued?
The Jerry Wayne Manning's 1043207525 was issued on 2005-09-30.
As of what date were the details related to Jerry Wayne Manning most recently updated or revised?
The information pertaining to Jerry Wayne Manning, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-19.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM