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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JARED DENOR LUNDQUIST, DPT

Active Sole Proprietor

DR. JARED DENOR LUNDQUIST, DPT is a Physical Therapy Assistant healthcare provider located in POCATELLO, Idaho. NPI 1033549571 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · POCATELLO, ID

Registration Details

NPI Number
1033549571
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2013 (12.687145984203 yrs)
Last Updated
Feb 4, 2019
Licenses
7940210-2401 (UT)
PT-4454 (ID)
Sole Proprietor
Yes

Practice Information

Address
2450 SKYLAR PL
POCATELLO, ID, 83201
Browse ID providers · Browse ZIP 83201
Phone
4353399058
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in POCATELLO, ID

Name Credential NPI
RICHARD W LEMON M.P.T. 1487646733
MRS. KIMBERLY W SCHWARZE RPT 1972566354
MRS. JONI D VAUGHN POWELL RPT 1962465344
MR. MICHAEL E OTTO RPT 1558324590
DR. COREY LAYNE RASMUSSEN DPT 1578665329
C RIC BENEDETTI DPT 1427147784
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.