# JEREMY BRYAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467124578
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1409083 | TX | — |
| 225100000X | Physical Therapist | 2305215729 | VA | — |
| 225100000X | Physical Therapist | P23138 | NC | — |
| 225100000X | Physical Therapist | PT017480 | GA | — |
| 225100000X | Physical Therapist | PT032334 | PA | — |
| 225100000X | Physical Therapist | PT11400 | SC | Yes |
| 225100000X | Physical Therapist | PT37509 | FL | — |
| 225100000X | Physical Therapist | PTH11808 | AL | — |
| 225100000X | Physical Therapist | T-W0049-3 | KS | — |

## Other

- **Enumeration date:** 09/28/2021
- **Last updated:** 10/05/2026
