Doctor Name: | JESSIKA MCCLUNE |
NPI Number: | 1902279011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 61026 |
Business Practice Address: | 2519 Cove Ave La Grande, OR - 978503910 |
Business Phone Number: | 5419620830 |
Business Fax Number: | |
Mailing Address: | 1144 Willagillespie Rd, Ste 1 EUGENE |
State: | OR |
Postal Code: | 974016711 |
Phone Number: | 5416364471 |
Fax Number: | 5413574992 |
NPI Enumeration Date: | 11/11/2015 |
NPI Last Update Date: | 05/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 61026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |