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JARED MORTENSEN, PT, DPT, ATC

Active

JARED MORTENSEN, PT, DPT, ATC is a Physical Therapy Assistant healthcare provider located in PROVO, Utah. NPI 1790393908 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PROVO, UT

Registration Details

NPI Number
1790393908
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2020 (6.0463605887814 yrs)
Last Updated
Feb 13, 2023
License
1968 (WY)

Practice Information

Address
1157 N 300 W
PROVO, UT, 846046124
Browse UT providers · Browse ZIP 84604
Phone
8013571250
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PROVO, UT

Name Credential NPI
DR. ROGAN L TAYLOR DPT 1356333611
NED B BUSHNELL PT 1528050861
DAVID BLAINE ARCHIBALD PT 1821083361
MR. PAUL W SAGERS PT 1457378259
JAMES C NACKOS MPT 1568483238
BRADEN J TAYLOR MPT 1598788036
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.