Jessica L Eddington, MPT
Individual provider Active NPI Physical Therapist · Doniphan, MO
NPI 1720327596 · NPPES record last updated Feb 13, 2013
Key facts
- NPI
- 1720327596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2008005509 (MO)
- Practice address
- 1015 Grand Street
Doniphan, MO 63935 - Phone
- (573) 996-4932
- NPI assigned
- Feb 13, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008005509 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2008005509 | MO | Yes |
Addresses
Primary practice location
1015 Grand Street
Doniphan, MO 63935
Mailing address
HC 6 Box 283a
Doniphan, MO 63935-9011
Phone (573) 255-3517
Other providers in Doniphan, MO
- Chastity Maemarie Doggett
- Doniphan Reorganized School
- Doniphan Vision Improvement Clinic, LLC
- E & S Pharmacy Inc
- E & S Pharmacy Inc
- Emergency Staffing Solutions, Inc.
- Justin Edward Emfinger
- Dalton Luke Fongemie
- Fred'S of Doniphan, Inc
- Freds of Doniphan Inc
All providers in Doniphan, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2013. 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.