Provider Demographics
NPI:1790320976
Name:TURK, JORY LEE (PTA PHYSICAL THERAPY)
Entity Type:Individual
Prefix:MR
First Name:JORY
Middle Name:LEE
Last Name:TURK
Suffix:
Gender:M
Credentials:PTA PHYSICAL THERAPY
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1851 BIGHORN AVE SHERIDAN MANOR
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801
Mailing Address - Country:US
Mailing Address - Phone:307-674-4416
Mailing Address - Fax:307-674-5814
Practice Address - Street 1:1851 BIGHORN AVE SHERIDAN MANOR
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801
Practice Address - Country:US
Practice Address - Phone:307-674-4416
Practice Address - Fax:307-674-5814
Is Sole Proprietor?:No
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY214225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant