# MR. JAREN LANE WARREN

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

## Provider details

- **NPI number:** 1518036474
- **Gender:** Man
- **Credential:** MPT, OCS, CMT, CSCS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 299248 | CA | Yes |
| 225100000X | Physical Therapist | 6407-024 | WI | — |
| 225100000X | Physical Therapist | 6407-24 | WI | — |
| 225100000X | Physical Therapist | PT014216 | GA | — |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 07/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40328800 | — | WI |