Search › Virginia › 174400000X
Jacob Ivey, ATC
NPI 1801283049 · on the registry since 2015 · sole proprietor
Practice
- Address
- 7521 Jaguar Trl
Falls Church, VA 22042 - Phone
- (703) 207-4041
- Fax
- (703) 207-4012
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia