Healthcare Provider Details

I. General information

NPI: 1093165896
Provider Name (Legal Business Name): JARED ESKEW PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2016
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 STOCKDALE HWY STE B1
BAKERSFIELD CA
93311-1091
US

IV. Provider business mailing address

3400 CALLOWAY DR STE 603
BAKERSFIELD CA
93312-2514
US

V. Phone/Fax

Practice location:
  • Phone: 661-827-8959
  • Fax: 661-827-1779
Mailing address:
  • Phone: 661-873-7975
  • Fax: 805-788-0845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT291460
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: