JENNIFER HALVORSEN PTA
NPI 1730591884
Specialist in Coolidge, AZ

Active since May 23, 2014
1491 N ARIZONA BLVD STE 109, COOLIDGE, AZ 85128(520) 424-2222 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist

About JENNIFER HALVORSEN

This page provides the complete NPI Profile along with additional information for Jennifer Halvorsen, a provider established in Coolidge, Arizona with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1730591884 assigned on May 2014. The practitioner's primary taxonomy code is 174400000X with license number 10457A (AZ). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1730591884 Verify this NPI
Provider Name
JENNIFER HALVORSEN PTA
Gender
Female
Entity Type
Individual
Location Address
1491 N ARIZONA BLVD STE 109 COOLIDGE, AZ 85128
Location Phone
(520) 424-2222
Mailing Address
1356 W WEATHERBY WAY CHANDLER, AZ 85286
Mailing Phone
(651) 253-0227
Is Sole Proprietor?
No
Enumeration Date
05-23-2014
Last Update Date
05-23-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
10457A
License State
AZ
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physical Therapist
1491 N ARIZONA BLVD STE 109
COOLIDGE, AZ 85128
Physical Therapist
1491 N ARIZONA BLVD STE 109
COOLIDGE, AZ 85128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730591884, enumerated as an "individual" on May 23, 2014.

The provider is located at 1491 N ARIZONA BLVD STE 109 COOLIDGE, AZ 85128 and the phone number is (520) 424-2222.

Specialist with taxonomy code 174400000X.