Provider Demographics
NPI:1194279877
Name:JOYNER THERAPY SERVIES
Entity type:Organization
Organization Name:JOYNER THERAPY SERVIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAYMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASHION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1618-998-9894
Mailing Address - Street 1:108 APRIL AVE
Mailing Address - Street 2:
Mailing Address - City:CARMI
Mailing Address - State:IL
Mailing Address - Zip Code:62821-1577
Mailing Address - Country:US
Mailing Address - Phone:161-838-2277
Mailing Address - Fax:
Practice Address - Street 1:108 APRIL AVE
Practice Address - Street 2:
Practice Address - City:CARMI
Practice Address - State:IL
Practice Address - Zip Code:62821-1577
Practice Address - Country:US
Practice Address - Phone:161-838-2277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160007624261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy