Provider Demographics
NPI:1790885309
Name:CAVER, JODI (PTA)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:CAVER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8707
Mailing Address - Country:US
Mailing Address - Phone:205-664-9220
Mailing Address - Fax:205-664-3876
Practice Address - Street 1:420 1ST ST N
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8707
Practice Address - Country:US
Practice Address - Phone:205-664-9220
Practice Address - Fax:205-664-3876
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3449225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant