Jerry Clifton Ivy, PT

NPI #1093778680 in Joseph, Oregon

Provider Information

NPI Number: 1093778680
Entity Type: Individual
Name: Jerry Clifton Ivy, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 6, 2006
Last Updated: Jan 16, 2020

Practice Location

Address: 4 S MAIN ST STE B
City: Joseph
State: Oregon
ZIP Code: 97846-8434
Phone: (541) 432-1480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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