MEDICARE: JESSICA MCVEY

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	PTL.0014279	CO

General Provider Information

NPI Number	:	1750832770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MCVEY

Provider Business Mailing Address
First Line	:	106 ISABEL CT
Second Line	:	PO BOX 486
City	:	BUENA VISTA
State	:	CO
Zip	:	81211-9551
Country	:	US
Telephone Number	:	719-395-8711
Fax Number	:	719-395-9062

Provider Business Practice Location Address
First Line	:	106 ISABEL CT
Second Line	:
City	:	BUENA VISTA
State	:	CO
Zip	:	81211-9551
Country	:	US
Telephone Number	:	719-395-8711
Fax Number	:	719-395-9062

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

Provider Enumeration Date	:	10/14/2016
Last Update Date	:	10/14/2016

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Directions to “ JESSICA MCVEY ” Practice Location

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