Organization
JAMCO OF KY. INC.
Active
Other names
JACKSON PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA BUSH (OFFICE MANAGER)
(606) 666-9293
Entity
Organization
Contact information
Practice address
695 KY. HWY. 15 NORTH, SUITE 3, JACKSON, KY 41339
(606) 666-9293
(606) 666-9220
Mailing address
PO BOX 803, JACKSON, KY 41339-0803
(606) 666-9293
(606) 666-9220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2538
KY
225100000X
Physical Therapist
4578
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235291584
NPI
KY
01
—
1619039989
NPI
KY
Enumeration date
04/17/2007
Last updated
08/22/2020
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