Individual
JODY PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 LOGAN ST, SIOUX CITY, IA 51105-3359
(712) 253-6061
(712) 255-7580
Mailing address
940 LOGAN ST, SIOUX CITY, IA 51105-3359
(712) 253-6061
(712) 255-7580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00796
IA
225200000X
Physical Therapy Assistant
14-02204
KS
225200000X
Physical Therapy Assistant
900
NE
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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