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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAY HERDSON, PT

Active

JAY HERDSON, PT is a Physical Therapy Assistant healthcare provider located in ELLICOTT CITY, Maryland. NPI 1972599819 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ELLICOTT CITY, MD

Registration Details

NPI Number
1972599819
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2005 (20.694586664271 yrs)
Last Updated
Jan 18, 2024
Licenses
19964 (MD)
19964 (MD)
19964 (MD)

Practice Information

Address
6011 UNIVERSITY BLVD
SUITE 120
ELLICOTT CITY, MD, 210436074
Browse MD providers · Browse ZIP 21043
Phone
4102030391
Fax
4102032707
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ELLICOTT CITY, MD

Name Credential NPI
ELLEN DRISCOLL PT 1730170671
MS. JENNIFER LYNN HEALEY-HAWKS MPT 1790735280
MS. BRENDA RUTLEDGE PT 1861449183
MATTHEW JAMES STUART PT 1205859162
MRS. MEGAN MALLOY GRECO DPT 1720094428
SARAH K SIVITZ MSPT 1669481842
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.