Individual
JAYDE N RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
887 KNOX HIGHWAY 18, YATES CITY, IL 61572-9451
(309) 678-5093
Mailing address
887 KNOX HIGHWAY 18, YATES CITY, IL 61572-9451
(309) 678-5093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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