Individual
JARED W SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1601 12TH AVE RD, SUITE 101, NAMPA, ID 83686
(208) 466-0200
(208) 261-3140
Mailing address
1601 12TH AVE RD, SUITE 101, NAMPA, ID 83686
(208) 466-0200
(208) 261-3140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2903
ID
Other
Enumeration date
11/02/2011
Last updated
05/24/2021
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