Provider Demographics
NPI:1013982214
Name:ATWOOD, JOY D (PT)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:D
Last Name:ATWOOD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17479 TURNEY CALDWELL RD
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-9560
Mailing Address - Country:US
Mailing Address - Phone:740-420-6168
Mailing Address - Fax:
Practice Address - Street 1:3983 JACKPOT RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8637
Practice Address - Country:US
Practice Address - Phone:614-539-5301
Practice Address - Fax:614-539-8658
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-6490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist