Kenneth Mark Jolley in Odessa - Physical Therapy Assistant
Kenneth Mark Jolley - NPI 1912165689
Kenneth Mark Jolley is a Physical Therapy Assistant in Odessa, Texas. Kenneth Mark Jolley practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kenneth Mark Jolley is 1912165689. The last update date is 2008-05-29.
Kenneth Mark Jolley's current location address is 2525 N Grandview Ave, Odessa, Texas. You can contact this provider via phone number 4325504700 and fax number 4325504715. The mailing address for Kenneth Mark Jolley is 2525 N Grandview Ave, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Mark Jolley |
|---|---|
| Address | 2525 N Grandview Ave, Odessa, Texas |
| Phone Number | 4325504700 |
| Fax Number | 4325504715 |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1912165689 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 2525 N Grandview Ave |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797611600 |
| Phone Number | 4325504700 |
| Fax Number | 4325504715 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 4043303 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kenneth Mark Jolley?
The Kenneth Mark Jolley has been issued the NPI (National Provider Identifier) 1912165689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kenneth Mark Jolley's physical address?
The Kenneth Mark Jolley is physically located at 2525 N Grandview Ave, in the city of Odessa, TX, with the postal code 797611600.
What is Kenneth Mark Jolley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Mark Jolley's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.
When did Kenneth Mark Jolley receive its 1912165689 assignment?
The Kenneth Mark Jolley was assigned its 1912165689 on 2008-05-29, which is the date when this unique identifier was issued to the organization.
When was the Kenneth Mark Jolley's information last updated?
The Kenneth Mark Jolley's information was last updated on 2008-05-29.