Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY CLIFTON IVY, PT
ActiveJERRY CLIFTON IVY, PT is a Physical Therapy Assistant healthcare provider located in JOSEPH, Oregon. NPI 1093778680 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JOSEPH, OR
Registration Details
- NPI Number
- 1093778680
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2006 (20.358461458581 yrs)
- Last Updated
- Jan 16, 2020
- License
-
2125 (OR)
Practice Information
- Address
-
4 S MAIN ST STE BJOSEPH, OR, 978468434Browse OR providers · Browse ZIP 97846
- Phone
- 5414321480
- Fax
- 5414321481
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.