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NPI Code Detail

MEDICARE: JORDAN T FEATHERS PHYSICAL THERAPIST

MEDICARE: JORDAN T FEATHERS PHYSICAL THERAPIST
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 Therapist002276WV

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 : 1568406890
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN T FEATHERS PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 943 MAPLE DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-2812
Country : US
Telephone Number : 304-599-2515
Fax Number : 304-285-3738
Provider Business Practice Location Address
First Line : 943 MAPLE DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26505-2812
Country : US
Telephone Number : 304-599-2515
Fax Number : 304-285-3738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 10/25/2013

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Directions to “ JORDAN T FEATHERS PHYSICAL THERAPIST” Practice Location

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