Individual provider · Type 1 NPI
Jacob A. Ivey, ATC
Specialist · Falls Church, VA
NPI number
1801283049
Active
Practice location
7521 Jaguar Trl
Falls Church, VA 22042-7511
Fax (703) 207-4012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 0126001899 (VA) |
Specialist: 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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About NPI 1801283049
Jacob A. Ivey, ATC's National Provider Identifier is 1801283049, issued on Apr 24, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Falls Church, VA. The record was last updated on Apr 24, 2015.