MEDICARE: PATRICIA KAY 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	2398	OK

General Provider Information

NPI Number	:	1831369818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA KAY JONES PT

Provider Business Mailing Address
First Line	:	PO BOX 746
Second Line	:
City	:	HARRAH
State	:	OK
Zip	:	73045-0746
Country	:	US
Telephone Number	:	405-454-0010
Fax Number	:	405-454-0030

Provider Business Practice Location Address
First Line	:	19629 NE 23RD ST
Second Line	:
City	:	HARRAH
State	:	OK
Zip	:	73045-9305
Country	:	US
Telephone Number	:	405-454-0010
Fax Number	:	405-454-0030

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

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	01/29/2016

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