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NPI Code Detail

MEDICARE: JENNIFER BETH TRIMBLE PT

MEDICARE:   JENNIFER BETH TRIMBLE  PT
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
1225100000XPhysical Therapist2610WV
22251X0800XOrthopedic Physical Therapist2610WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245369743
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BETH TRIMBLE PT
Provider Business Mailing Address
First Line : 3761 TEAYS VALLEY RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9705
Country : US
Telephone Number : 304-760-1180
Fax Number :
Provider Business Practice Location Address
First Line : 3761 TEAYS VALLEY RD
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9705
Country : US
Telephone Number : 304-760-1180
Fax Number : 304-760-1189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 01/04/2026

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Directions to “ JENNIFER BETH TRIMBLE PT” Practice Location

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