Jenelle Deatherage PT

  • NPI 1720090830
According to our database, the NPI number for Jenelle Deatherage PT is 1720090830 and activated since 17 years ago. Jenelle Deatherage PT is an individual provider who specializes in Physical Therapist, and the primary practice location is 9901 N Knoxville Ave, Peoria, IL 61615. You can also contact Jenelle Deatherage PT via telephone number is (309) 243-1989. Provider NPI information was last updated on 06/26/2014.

Recently Active NPIs

Overview of Jenelle Deatherage PT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/13/2006
  • Last updated: 06/26/2014

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 070020706
  • License State: IL

Provider Mailing Address

  • Address: 850 43rd Ave Ste 100
    Moline, IL 61265
  • Phone: 309-743-2070
  • Fax: 309-743-2073

Provider Practice Location

  • Address: 9901 N Knoxville Ave
    Ste D
    Peoria, IL 61615
  • Phone: 309-243-1989
  • Fax:

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 070020706
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 070020706
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: ILLINOIS PT LICENSE NO.

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jenelle Deatherage PT?
  • A: The npi number for Jenelle Deatherage PT is 1720090830.
  • Q: What are Jenelle Deatherage PT's specialties?
  • A: Jenelle Deatherage PT's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Jenelle Deatherage PT?
  • A: The medical license number for Jenelle Deatherage PT is 070020706 and issued in IL in USA.
  • Q: Where is Jenelle Deatherage PT practice location?
  • A: Jenelle Deatherage PT is practicing at 9901 N Knoxville Ave, Peoria, IL 61615.
  • Q: How to contact Jenelle Deatherage PT?
  • A: You can contact Jenelle Deatherage PT via 309-243-1989.
Medicare Specialty
View all Specialties
Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.