Jesseca Lynn Full, P.T.A.

Physical Therapy Assistant · Spencer, WV

Individual Active NPI

NPI number 1154634889

Practice location

200 Hospital Dr
Spencer, WV 25276-1050
Phone
(304) 927-4444

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NPI record

NPI
1154634889
Entity type
Individual (Type 1)
Enumeration date
July 22, 2010
Last updated
July 22, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA 001094 WV

Mailing address

RR 2 Box 24a
Elizabeth, WV 26143-9767
Phone
(304) 275-3889

About Jesseca Full

Jesseca Lynn Full, P.T.A. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 200 Hospital Dr, Spencer, WV 25276-1050. The NPI number 1154634889 was assigned on July 22, 2010 and the record was last updated on July 22, 2010.

Jesseca Full lists a license in the registry: #PTA 001094 (WV) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jesseca Lynn Full, P.T.A.?

The NPI number is 1154634889.

What is the phone number of Jesseca Full?

The phone number listed for the practice location is (304) 927-4444.

Where is Jesseca Full located?

200 Hospital Dr, Spencer, WV 25276-1050.

What is the taxonomy code for Jesseca Full?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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