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NPI Code Detail

MEDICARE: MR. JARED TRAVIS MORASCO D.P.T.

MEDICARE:  MR. JARED TRAVIS MORASCO  D.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2797NV

General Provider Information

NPI Number : 1174800098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JARED TRAVIS MORASCO D.P.T.
Provider Business Mailing Address
First Line : 2250 CORPORATE CIR STE 350
Second Line :
City : HENDERSON
State : NV
Zip : 89074-7714
Country : US
Telephone Number : 702-800-8988
Fax Number :
Provider Business Practice Location Address
First Line : 2250 CORPORATE CIR STE 350
Second Line :
City : HENDERSON
State : NV
Zip : 89074-7714
Country : US
Telephone Number : 702-800-8988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2011
Last Update Date : 07/25/2022

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Directions to “ MR. JARED TRAVIS MORASCO D.P.T.” Practice Location

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