# JOSHUA C FEENEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1932379328
- **Gender:** Man
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 8677 | MN | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 09/19/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004224 | IOWA PT LICENSE | IA |
| 01 | — | 056608 | MEDICARE | CA |
| 01 | — | 070-016238 | ILLINOIS PT LICENSE NO | IL |
| 01 | — | I18344009 | IOWA MEDICARE NO | IA |
| 01 | — | K50540 | ILLINOIS MEDICARE PTAN | IL |