Individual
TRENTON JACOB TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
43186 JERRILL DR, SAINT CLAIRSVILLE, OH 43950-9647
(740) 827-7849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP032012T
OR
225100000X
Physical Therapist
Primary
PT021167
OH
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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