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NPI Code Detail

MEDICARE: JARROD W BRIAN PT

MEDICARE: JARROD W BRIAN 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
1225100000XPhysical Therapist7316MN

General Provider Information

NPI Number : 1215197652
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARROD W BRIAN PT
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 3708 BROADWAY AVE N
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-4159
Country : US
Telephone Number : 507-322-3460
Fax Number : 507-322-3450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2008
Last Update Date : 04/09/2024

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