Individual
MR. JOHN B PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
232 E HURON ST, JACKSON, OH 45640-2032
(740) 286-5677
(740) 286-7661
Mailing address
2700 GREENUP AVE, ASHLAND, KY 41101-1953
(606) 324-0540
(606) 324-0616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217253
ANTHEM BCBS
—
01
—
1578517892
NPI
—
01
—
2666664
MOLINA MEDICAID
OH
05
—
3810005160
—
WV
01
—
P00359469
RR MEDICARE
—
Enumeration date
05/20/2006
Last updated
07/21/2022
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