Healthcare Provider Details

I. General information

NPI: 1417622416
Provider Name (Legal Business Name): JARED MCFARLAND DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2021
Last Update Date: 08/11/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

679 S MAIN ST
HAVERHILL MA
01835-8721
US

IV. Provider business mailing address

42 ALDER DR
NASHUA NH
03060-4317
US

V. Phone/Fax

Practice location:
  • Phone: 978-372-3211
  • Fax: 978-372-3212
Mailing address:
  • Phone: 603-759-6122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number25653
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: