Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN WADE WILLEY, PT
ActiveDR. JONATHAN WADE WILLEY, PT is a Physical Therapy Assistant healthcare provider located in DOVER AIR FORCE BASE, Delaware. NPI 1336734359 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DOVER AIR FORCE BASE, DE
Registration Details
- NPI Number
- 1336734359
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2021 (5.4433278131109 yrs)
- Last Updated
- May 6, 2024
- Licenses
-
CP017653T (MD)J1-0014311 (DE)
Practice Information
- Address
-
300 TUSKEGEE BLVDDOVER AIR FORCE BASE, DE, 199025003Browse DE providers · Browse ZIP 19902
- Phone
- 3026772568
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
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.