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NPI Code Detail

MEDICARE: JODI CAMPBELL PTA, B.S.

MEDICARE: JODI CAMPBELL PTA, B.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantAZ

General Provider Information

NPI Number : 1134055494
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI CAMPBELL PTA, B.S.
Provider Business Mailing Address
First Line : 23398 S 223RD CT
Second Line :
City : QUEEN CREEK
State : AZ
Zip : 85142-3217
Country : US
Telephone Number : 602-312-4458
Fax Number :
Provider Business Practice Location Address
First Line : 21576 S ELLSWORTH LOOP RD STE 108
Second Line :
City : QUEEN CREEK
State : AZ
Zip : 85142-1068
Country : US
Telephone Number : 602-737-2275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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