Individual
JONATHAN JAY TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8400 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8653
(928) 775-9999
(928) 775-9998
Mailing address
8400 E FLORENTINE RD, PRESCOTT VALLEY, AZ 86314-8653
(928) 775-9999
(928) 775-9998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766305
—
AZ
Enumeration date
07/25/2006
Last updated
08/08/2017
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