Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED C PUGMIRE, PT DPT
Active Sole ProprietorJARED C PUGMIRE, PT DPT is a Physical Medicine & Rehabilitation healthcare provider located in CHUBBUCK, Idaho. NPI 1376952713 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · CHUBBUCK, ID
Registration Details
- NPI Number
- 1376952713
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2014 (12.033240352691 yrs)
- Last Updated
- Apr 20, 2020
- Licenses
-
5310 (ID)3018 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
820 W CHUBBUCK RDCHUBBUCK, ID, 832022933Browse ID providers · Browse ZIP 83202
- Phone
- 2082406017
- Fax
- 2082406023
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Therapy Assistant
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.