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Contact Information

JENNIFER HUMPHREY
1380 S CASTLE DOME AVE STE 104
YUMA, AZ85365-2024
 Phone: 928-259-7758
 Fax: 928-259-7808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JENNIFER HUMPHREY · (Female)

NPI Number 1922690981
Status Active
Credentials
Entity Individual
Enumeration date 02/10/2021
Last updated 02/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # LPT-30768
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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