Doctor Name: | DR. RICKARD DUSTIN JONES |
NPI Number: | 1013293950 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, ATC, CSCS |
License Number: | PT 002989 |
Business Practice Address: | 772 Foxcroft Ave Martinsburg, WV - 254011838 |
Business Phone Number: | 3042628161 |
Business Fax Number: | |
Mailing Address: | 20 Chatfield Dr, SHEPHERDSTOWN |
State: | WV |
Postal Code: | 254434605 |
Phone Number: | 3046385470 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2011 |
NPI Last Update Date: | 10/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT 002989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |