Jordan Russell Hairston, PT, DPT | |
711 S 3rd St, Ironton, OH 45638-1854 | |
(740) 534-1156 | |
(606) 324-0616 |
Full Name | Jordan Russell Hairston |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 711 S 3rd St, Ironton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992402754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT020276 (Ohio) | Primary |
Provider Name | Ironton Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649399643 PECOS PAC ID: 0749188407 Enrollment ID: O20031223000224 |
Mailing Address | Practice Location Address |
---|---|
Jordan Russell Hairston, PT, DPT 1212 Bath Ave Ste 350, Ashland, KY 41101-3685 Ph: (606) 324-0540 | Jordan Russell Hairston, PT, DPT 711 S 3rd St, Ironton, OH 45638-1854 Ph: (740) 534-1156 |
Michelle Ursula Watson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 N 2nd St Ste A, Ironton, OH 45638 Phone: 740-534-1410 Fax: 740-534-1415 | |
Nicolas Shane Kemper, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 711 S 3rd St, Ironton, OH 45638 Phone: 606-324-0540 Fax: 606-324-0616 | |
Kerri Elizabeth Galloway, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 S 3rd St, Ironton, OH 45638 Phone: 740-534-1156 Fax: 740-534-1158 | |
Ms. Arminda L. Watts, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 S 3rd St, Ironton, OH 45638 Phone: 740-534-1156 Fax: 740-534-1158 | |
Joseph A Isaac, PT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 711 South Third St, Ironton, OH 45638 Phone: 740-534-1156 Fax: 740-534-1158 | |
Tri State Rehab Services Physical Therapist Medicare: Medicare Enrolled Practice Location: 711 S 3rd St, Ironton, OH 45638 Phone: 740-534-1156 Fax: 740-534-1158 | |
Mrs. Ladona Kay Mcmackin, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 Park Ave, Suite A, Ironton, OH 45638 Phone: 740-532-0770 Fax: 740-532-0708 |