Healthcare Provider Details

I. General information

NPI: 1841297264
Provider Name (Legal Business Name): JEFFREY C JOYCE R.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 07/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CHARLES PL
MANHATTAN KS
66502-2750
US

IV. Provider business mailing address

1600 CHARLES PL
MANHATTAN KS
66502-2750
US

V. Phone/Fax

Practice location:
  • Phone: 785-537-4200
  • Fax: 785-537-4354
Mailing address:
  • Phone: 785-537-4200
  • Fax: 785-537-4354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number11-02545
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: