Amy Jo Blanford in Jacksonville - Physical Therapist

Amy Jo Blanford - NPI 1336179712

Amy Jo Blanford is a Physical Therapist in Jacksonville, Illinois. Amy Jo Blanford practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Amy Jo Blanford is 1336179712. The last update date is 2011-04-11.

Amy Jo Blanford's current location address is 1440 W Walnut St, Jacksonville, Illinois. You can contact this provider via phone number 2172451455 and fax number 2172436903. The mailing address for Amy Jo Blanford is 1440 W Walnut St, Jacksonville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy Jo Blanford
Address 1440 W Walnut St, Jacksonville, Illinois
Phone Number 2172451455
Fax Number 2172436903
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1336179712
Provider Enumeration Date 2006-07-03
Last Updated Date 2011-04-11

Provider Mailing Address Detail

Address 1440 W Walnut St
City Jacksonville
State Illinois (IL)
Post Code 626501143
Phone Number 2172451455
Fax Number 2172436903

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 70009519
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
141-989 IL HEALTHLINK
216653 IL GROUP PTAN
5415281 IL BLUE CROSS BLUE SHIELD

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FAQs about Amy Jo Blanford

What is the unique identifier code issued to Amy Jo Blanford by the Centers for Medicare & Medicaid Services?

The Amy Jo Blanford has been assigned the NPI (National Provider Identifier) 1336179712. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Amy Jo Blanford?

The Amy Jo Blanford is physically situated at 1440 W Walnut St, in the city of Jacksonville, state of IL, with the postal code 626501143.

What is Amy Jo Blanford's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Amy Jo Blanford's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.

When did Amy Jo Blanford receive its 1336179712 assignment?

The Amy Jo Blanford was assigned its 1336179712 on 2006-07-03, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Amy Jo Blanford most recently updated or revised?

The details related to Amy Jo Blanford, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-11.

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