Individual
MRS. ALISSA ANNE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2224 E CEDAR AVE, STE 1, FLAGSTAFF, AZ 86004-1957
(928) 779-1679
(928) 779-2822
Mailing address
2224 E CEDAR AVE, STE 1, FLAGSTAFF, AZ 86004-1957
(928) 779-1679
(928) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6606
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954976
AHCCCS #
AZ
01
—
Z157065
MEDICARE PTAN
AZ
Enumeration date
10/12/2006
Last updated
10/02/2014
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