Jarrod Charles Brownsberger, DPT
Clinic/Center, Physical Therapy in Chubbuck, ID. Individual provider (NPI-1).
NPI number1114495751
StatusActive
Last updated in NPPESNov 12, 2018
Details
- NPI
- 1114495751
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jarrod Charles Brownsberger
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 12, 2018
- Last updated
- Nov 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | PT5030 | ID | Yes |
Practice location
4922 Yellowstone Ave Ste JChubbuck, ID 83202-2360
Phone 208-237-1882
Mailing address
145 S 18th AvePocatello, ID 83201-3342
Phone 208-317-9841
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