Jason Ray Hyde, MPT

NPI #1700102662 in Blackfoot, Idaho

Provider Information

NPI Number
1700102662
Entity Type
Individual
Name
Jason Ray Hyde, MPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
MPT
Enumeration Date
Apr 15, 2010
Last Updated
Mar 21, 2013

Practice Location

Address
725 JENSEN GROVE DR
Address 2
SUITE 4
State
Idaho
ZIP Code
83221-1636
Phone
(208) 227-6255

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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