Jodie Cicco, PT, DPT
Physical Therapist in Yuma, AZ. Individual provider (NPI-1).
NPI number1508288317
StatusActive
Last updated in NPPESMay 6, 2023
Details
- NPI
- 1508288317
- Entity type
- Individual (NPI-1)
- Name
- Jodie Cicco
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2014
- Certification date
- May 6, 2023
- Last updated
- May 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 010825 | AZ | Yes |
Practice location
1380 S Castle Dome AveYuma, AZ 85365-2024
Phone 928-259-7758
Mailing address
10229 E 39th WayYuma, AZ 85365-5454
Phone 412-610-5519
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