Individual
MR. JARROD CHARLES BROWNSBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4922 YELLOWSTONE AVE STE J, CHUBBUCK, ID 83202-2360
(208) 237-1882
Mailing address
145 S 18TH AVE, POCATELLO, ID 83201-3342
(208) 317-9841
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT5030
ID
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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