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Individual
MR. JED S. MCNALLY
Active
Individual
MR. JED S. MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1151595
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1721045-01
—
TX
01
—
8T2904
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/08/2006
Last updated
02/26/2025
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