Provider / Organization | NPI | Date Certified |
---|---|---|
JESSICA CONWAY | 1528635836 | 2021-06-06 |
Jessica Conway is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1528635836. Registration indicates Jessica Conway is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Jessica Conway DPT |
Practice Office Address | 1091 W SOUTH JORDAN PKWY STE 500 SOUTH JORDAN, UT US |
Practice Office Telephone | 3858877250 |
Mailing Address | 1091 W SOUTH JORDAN PKWY STE 500 SOUTH JORDAN, UT 840958841 US |
Business Telephone | 3858877250 |
Address | City / State | Phone / Fax |
---|---|---|
1077 State Route 28 Ste 105 | Milford, OH 451505099 | 5136532888 / 5139916600 |
1685 W 2200 S | Salt Lake City, UT 841191456 | 8019751027 |
Code | Practice | License No State |
---|---|---|
225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT019163
OH |
225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 13445090-2401
UT |