Provider Demographics
NPI:1760435200
Name:GALBAVY, JESSICA LYN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LYN
Last Name:GALBAVY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 ELM ST
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-1219
Mailing Address - Country:US
Mailing Address - Phone:605-310-6596
Mailing Address - Fax:
Practice Address - Street 1:3930 STADIUM DR
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-5166
Practice Address - Country:US
Practice Address - Phone:712-276-4325
Practice Address - Fax:712-276-6033
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA03850225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist