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NPI Code Detail

MEDICARE: JENNIFER M JONES PT

MEDICARE: JENNIFER M 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
12081P0010XPediatric Rehabilitation Medicine Physician070.012714IL
2225100000XPhysical Therapist05009800AIN

General Provider Information

NPI Number : 1487710257
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER M JONES PT
Provider Business Mailing Address
First Line : 1720 AMEN CORNER CT
Second Line :
City : CHESTERTON
State : IN
Zip : 46304-3466
Country : US
Telephone Number : 773-968-0525
Fax Number :
Provider Business Practice Location Address
First Line : 2701 CHESTNUT STATION CT
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-6395
Country : US
Telephone Number : 773-968-0525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 10/14/2024

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