Individual
MARCUS SCOTT JANKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
213 NW 2ND AVE, MYRTLE CREEK, OR 97457-9139
(541) 863-6571
(541) 863-7803
Mailing address
PO BOX 2120, MYRTLE CREEK, OR 97457-0157
(541) 863-6571
(541) 863-7803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08946
OR
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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