Individual provider · NPI-1

Jared Hill

Kinesiotherapist · Lake City, FL

NPI number1043956717
StatusActive
Last updated in NPPESMay 6, 2022

Details

NPI
1043956717
Entity type
Individual (NPI-1)
Name
Jared Hill
Sex
Male
Sole proprietor
Yes
Enumeration date
May 6, 2022
Certification date
May 6, 2022
Last updated
May 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
226300000X Kinesiotherapist––Yes

Practice location

619 S Marion Ave
Lake City, FL 32025-5808

Phone 386-755-3016

Mailing address

619 S Marion Ave
Lake City, FL 32025-5808

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