MEDICARE: ALLAN D JONES 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
1	225100000X	Physical Therapist	4371	AZ

General Provider Information

NPI Number	:	1396963351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLAN D JONES PT

Provider Business Mailing Address
First Line	:	2550 E KNIGHTSBRIDGE DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85706-3656
Country	:	US
Telephone Number	:	520-370-1887
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 S PARK AVE
Second Line	:	STE 601
City	:	TUCSON
State	:	AZ
Zip	:	85713-5071
Country	:	US
Telephone Number	:	520-623-5551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	04/08/2008

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Directions to “ ALLAN D JONES PT” Practice Location

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