Individual
DR. JARED BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7455 W WASHINGTON AVE, 100, LAS VEGAS, NV 89128-4337
(702) 655-9456
(702) 243-1830
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
25000
MD
225100000X
Physical Therapist
Primary
3319
NV
225100000X
Physical Therapist
7930
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341602000
—
MD
Enumeration date
05/27/2014
Last updated
05/31/2016
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