JARED TRAVIS MARTIN
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1942784806- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 625 E BROADWAY AVE, JACKSON, WY, 830018642
- Phone
- (307) 733-3636
Specialties & Taxonomies
Physical Therapy Assistant
License: WY #0917
Physical Therapy Assistant
Primary License: TX #2122305