Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JARED COLE WILBURN, MPT
ActiveMR. JARED COLE WILBURN, MPT is a Physical Therapy Assistant healthcare provider located in SOUTHGATE, Kentucky. NPI 1760704431 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SOUTHGATE, KY
Registration Details
- NPI Number
- 1760704431
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2010 (16.433325983877 yrs)
- Last Updated
- May 12, 2015
- Licenses
-
05009495A (IN)005941 (KY)
Practice Information
- Address
-
525 ALEXANDRIA PIKESUITE 200SOUTHGATE, KY, 410713290Browse KY providers · Browse ZIP 41071
- Phone
- 8594417913
- Fax
- 8594414944
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in SOUTHGATE, KY
| Name | Credential | NPI |
|---|---|---|
| THERESA M BEDINGHAUS | — | 1992936579 |
| MR. KRISTOPHER DANIEL KAUFMAN | PT, MSPT | 1992938567 |
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.