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General NPI Number Information
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NPI Number | 1316328636
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Entity Type | Individual
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Provider Name | TRAVIS EARL JARRETT DPT
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Gender | Male
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 354 W CROSSROADS BLVD
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City | SARATOGA SPRINGS
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State | UT
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Zip | 84045-5506
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Country | US
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Telephone | 801-341-5280
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Fax | 801-341-5289
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Provider Business Mailing Address
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Address Line | 354 W STATE ROAD 73
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City | SARATOGA SPRINGS
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State | UT
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Zip | 84045-5506
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 9901933-2401
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License Number State | UT
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