Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY JOSEPH BOURASSA, PHYSICAL THERAPSIT
Active Sole ProprietorSpecialist · PRESCOTT, AZ
Registration Details
- NPI Number
- 1376721779
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2008 (18.221450760412 yrs)
- Last Updated
- Feb 7, 2008
- License
-
1370 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
146 S GRANITE STPRESCOTT, AZ, 863034710Browse AZ providers · Browse ZIP 86303
- Phone
- 9287173236
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| MARIA SYLVIA GARCIA | P.T. | 1699773317 |
| BRIAN D KIMBALL | MD | 1265428254 |
| DAVID R AMSTUTZ | MD | 1528054517 |
| DR. MATTHEW R DICKER | MD | 1164418158 |
| BRENT E JOHNSON | M.D. | 1487640447 |
| ROBERT T BARRY | MD | 1750377610 |
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.