Organization
JAMCO OF KY. INC.
Active
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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