Jamie Loomis

NPI #1891270500 in Jackson, Wyoming

Provider Information

NPI Number: 1891270500
Entity Type: Individual
Name: Jamie Loomis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 27, 2018
Last Updated: Sep 27, 2018

Practice Location

Address: 625 E BROADWAY AVE
City: Jackson
State: Wyoming
ZIP Code: 83001-8642
Phone: (307) 739-7450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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