Provider Demographics
NPI:1689136715
Name:JONES, D'LYNN MICHELLE (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:D'LYNN
Middle Name:MICHELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:493 PAYNE TOWN RD
Mailing Address - Street 2:
Mailing Address - City:MAX MEADOWS
Mailing Address - State:VA
Mailing Address - Zip Code:24360-3156
Mailing Address - Country:US
Mailing Address - Phone:276-620-1972
Mailing Address - Fax:
Practice Address - Street 1:3610 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-7015
Practice Address - Country:US
Practice Address - Phone:540-951-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-06
Last Update Date:2019-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306001734225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant