DR. Jared Denor Lundquist, DPT

NPI #1033549571 in Pocatello, Idaho

Provider Information

NPI Number: 1033549571
Entity Type: Individual
Name: DR. Jared Denor Lundquist, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 20, 2013
Last Updated: Feb 4, 2019

Practice Location

Address: 2450 SKYLAR PL
City: Pocatello
State: Idaho
ZIP Code: 83201
Phone: (435) 339-9058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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