Individual
DAVID A JARECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
102 E CONAN ST, ELY, MN 55731-1394
(218) 365-5556
(218) 365-3888
Mailing address
102 E CONAN ST, ELY, MN 55731-1394
(218) 365-5556
(218) 365-3888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4979
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6401457
—
MN
Enumeration date
06/23/2005
Last updated
08/06/2012
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