Jenna Sue Scales
Individual provider Active NPI Physical Therapy Assistant · Corn, OK
NPI 1508083379 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508083379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 106 West Adams
Corn, OK 73024 - Phone
- (580) 343-2852
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
106 West Adams
Corn, OK 73024
Mailing address
PO Box 232
Eakly, OK 73033-0232
Other providers in Corn, OK
- Corn Heritage Village of Corn Inc
- Corn the Mennonite Brethren Church of Corn Ok
- Leah Lorene Dowty
- Kendra Eastwood
All providers in Corn, OK · Physical Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.