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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY M DAVENPORT, PT

Active

JEFFREY M DAVENPORT, PT is a Physical Therapy Assistant healthcare provider located in POCATELLO, Idaho. NPI 1568618254 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · POCATELLO, ID

Registration Details

NPI Number
1568618254
Provider Type
Individual
Gender
Male
NPI Issued
Aug 13, 2008 (17.958612026305 yrs)
Last Updated
Feb 11, 2009
Licenses
PT 2240 (NV)
PT-2487 (ID)

Practice Information

Address
275 S 5TH AVE STE 140
POCATELLO, ID, 832016410
Browse ID providers · Browse ZIP 83201
Phone
2082324267
Fax
2082324268
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in POCATELLO, ID

Name Credential NPI
RICHARD W LEMON M.P.T. 1487646733
MRS. KIMBERLY W SCHWARZE RPT 1972566354
MRS. JONI D VAUGHN POWELL RPT 1962465344
MR. MICHAEL E OTTO RPT 1558324590
DR. COREY LAYNE RASMUSSEN DPT 1578665329
C RIC BENEDETTI DPT 1427147784
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.