Jerry Clifton Ivy in Joseph - Physical Therapist
Jerry Clifton Ivy - NPI 1093778680
Jerry Clifton Ivy is a Physical Therapist in Joseph, Oregon. Jerry Clifton Ivy practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jerry Clifton Ivy is 1093778680. The last update date is 2020-01-16.
Jerry Clifton Ivy's current location address is 4 S Main St Ste B, Joseph, Oregon. You can contact this provider via phone number 5414321480 and fax number 5414321481. The mailing address for Jerry Clifton Ivy is 4 S Main St Ste B, Joseph, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Clifton Ivy |
|---|---|
| Address | 4 S Main St Ste B, Joseph, Oregon |
| Phone Number | 5414321480 |
| Fax Number | 5414321481 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1093778680 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2020-01-16 |
Provider Mailing Address Detail
| Address | 4 S Main St Ste B |
|---|---|
| City | Joseph |
| State | Oregon (OR) |
| Post Code | 978468434 |
| Phone Number | 5414321480 |
| Fax Number | 5414321481 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2125 |
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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 |
|---|---|---|---|
| 16852 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerry Clifton Ivy by the Centers for Medicare & Medicaid Services?
The Jerry Clifton Ivy has been assigned the NPI (National Provider Identifier) 1093778680 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jerry Clifton Ivy is located?
The Jerry Clifton Ivy is situated at the following address: 4 S Main St Ste B, Joseph, OR, 978468434.
What is the Jerry Clifton Ivy's specialty and taxonomy code?
The Jerry Clifton Ivy's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093778680 to Jerry Clifton Ivy?
The Centers for Medicare & Medicaid Services originally issued the 1093778680 to Jerry Clifton Ivy on 2006-04-06.
As of what date were the Jerry Clifton Ivy's details last updated?
The information pertaining to the Jerry Clifton Ivy, including its address, specialty, and other details, was most recently updated on 2020-01-16.