Tiffany Shaunte' Jackson-Ponder, PTA

Physical Therapy Assistant · Naperville, IL

Individual Active NPI

NPI number 1932466455

Practice location

1136 N Mill St
Naperville, IL 60563-3577
Phone
(630) 355-3300

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NPI record

NPI
1932466455
Entity type
Individual (Type 1)
Enumeration date
April 22, 2012
Last updated
April 22, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160.005716 IL

About Tiffany Jackson-Ponder

Tiffany Shaunte' Jackson-Ponder, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1136 N Mill St, Naperville, IL 60563-3577. The NPI number 1932466455 was assigned on April 22, 2012 and the record was last updated on April 22, 2012.

Tiffany Jackson-Ponder lists a license in the registry: #160.005716 (IL) 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 Tiffany Shaunte' Jackson-Ponder, PTA?

The NPI number is 1932466455.

What is the phone number of Tiffany Jackson-Ponder?

The phone number listed for the practice location is (630) 355-3300.

Where is Tiffany Jackson-Ponder located?

1136 N Mill St, Naperville, IL 60563-3577.

What is the taxonomy code for Tiffany Jackson-Ponder?

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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