Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSE WADE MCINTYRE, DAT, LAT, ATC, CSCS
ActiveDR. JESSE WADE MCINTYRE, DAT, LAT, ATC, CSCS is a Sports Medicine (PM&R) healthcare provider located in SAN ANGELO, Texas. NPI 1477063725 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · SAN ANGELO, TX
Registration Details
- NPI Number
- 1477063725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 1, 2017 (8.860515633314 yrs)
- Last Updated
- Nov 28, 2022
- Licenses
-
AT7626 (TX)AT003021 (GA)
Practice Information
- Address
-
210 LA SALLE DRSAN ANGELO, TX, 769037916Browse TX providers · Browse ZIP 76903
- Phone
- 4056142024
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
Other Sports Medicine (PM&R) Providers in SAN ANGELO, TX
| Name | Credential | NPI |
|---|---|---|
| LACY FOSTER | LAT | 1164152161 |
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.