Jared Ives, PT, DPT

NPI #1215329560 in Tolar, Texas

Provider Information

NPI Number: 1215329560
Entity Type: Individual
Name: Jared Ives, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Feb 24, 2015
Last Updated: Feb 24, 2015

Practice Location

Address: 4601 MUSICK RD
City: Tolar
State: Texas
ZIP Code: 76476-2019
Phone: (817) 559-1004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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