Individual
DR. JEREMY L JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2640 CHANNING WAY, IDAHO FALLS, ID 83404-7517
(208) 552-2248
(208) 552-2463
Mailing address
2640 CHANNING WAY, IDAHO FALLS, ID 83404-7517
(208) 552-2248
(208) 552-2463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1732
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806626400
—
ID
05
—
907630295
—
ID
Enumeration date
06/22/2006
Last updated
02/25/2016
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