JARED C PUGMIRE PT DPT
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1376952713- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT DPT
- Status
- Active
Contact & Location
- Address
- 820 W CHUBBUCK RD, CHUBBUCK, ID, 832022933
- Phone
- (208) 240-6017
- Fax
- (208) 240-6023
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: ID #5310
Physical Therapist
License: NV #3018
All Addresses
MAILING
820 W CHUBBUCK RD
CHUBBUCK, ID, 832022933