JODY PICKERING

SIOUX CITY, IA
NPI1144686890
Former NameJODY JEAN RADLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IA  00796)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: NE  900)
225200000X Physical Therapy Assistant
(Licence: KS  14-02204)
Enumeration Date2016-01-11
Last Update Date2016-01-11
Business Address
-- JODY PICKERING
940 LOGAN ST
SIOUX CITY, IA 51105-3359
Phone number: 712-253-6061
Mailing Address
-- JODY PICKERING
940 LOGAN ST
SIOUX CITY, IA 51105-3359
Phone number: 712-253-6061