Jared Travis Martin

NPI #1942784806 in Jackson, Wyoming

Provider Information

NPI Number: 1942784806
Entity Type: Individual
Name: Jared Travis Martin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 17, 2018
Last Updated: Sep 17, 2018

Practice Location

Address: 625 E BROADWAY AVE
City: Jackson
State: Wyoming
ZIP Code: 83001-8642
Phone: (307) 733-3636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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