Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRALYN R WASYLYSHEN, PT
ActiveJERRALYN R WASYLYSHEN, PT is a Physical Therapy Assistant healthcare provider located in CHUBBUCK, Idaho. NPI 1780952093 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHUBBUCK, ID
Registration Details
- NPI Number
- 1780952093
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2011 (14.51548654026 yrs)
- Last Updated
- Dec 1, 2011
- License
-
PT-1796 (ID)
Practice Information
- Address
-
4650 HAWTHORNE RD STE 2BCHUBBUCK, ID, 832022376Browse ID providers · Browse ZIP 83202
- Phone
- 2082383349
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CHUBBUCK, ID
| Name | Credential | NPI |
|---|---|---|
| DERRICK NORTHRUP | P.T. | 1124196340 |
| DR. TIMOTHY ANDREW FLICKER | MPT, DPT, CSCS | 1215088059 |
| BRENT E DOBSON | PT | 1871756742 |
| DR. GRACE ELAINE JORY | PT, DPT | 1881824902 |
| JARED L MCKEE | DPT | 1649401407 |
| DEREK J SCHELSKE | PT | 1336438894 |
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.