Healthcare Provider Details

I. General information

NPI: 1356069827
Provider Name (Legal Business Name): ALIESE JULIANA JONES DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALIESE MADACHY

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 10/08/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8726 US-42
FLORENCE KY
41042-9625
US

IV. Provider business mailing address

560 S LOOP RD
EDGEWOOD KY
41017-3405
US

V. Phone/Fax

Practice location:
  • Phone: 859-301-2663
  • Fax: 859-817-7844
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT020076
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number009657
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: