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1912605726

NPI Code Detail

MEDICARE: JARED R HOUSER PT

MEDICARE: JARED R HOUSER PT

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
1	225100000X	Physical Therapist	J1-0014771	DE
2	225100000X	Physical Therapist	PT-8996	ID
3	225100000X	Physical Therapist	P21974	NC
4	225100000X	Physical Therapist	65306	OR
5	225100000X	Physical Therapist	PTL26878	MA
6	225100000X	Physical Therapist	7405	ME
7	225100000X	Physical Therapist	306810	CA
8	225100000X	Physical Therapist	PTL19189	CO
9	225100000X	Physical Therapist	040.0135033	VT

General Provider Information

NPI Number	:	1912605726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED R HOUSER PT

Provider Business Mailing Address
First Line	:	9 BECKER DR
Second Line	:
City	:	LITITZ
State	:	PA
Zip	:	17543-9311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2645 N 17TH ST
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2134
Country	:	US
Telephone Number	:	541-266-3658
Fax Number	:	541-267-5395

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2023
Last Update Date	:	04/21/2026

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Directions to “ JARED R HOUSER PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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