Individual
JARED ROY BLANKENSHIP
Active
Individual
JARED ROY BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003396
WV
225100000X
Physical Therapist
Primary
PT016038
OH
225200000X
Physical Therapy Assistant
PTA 05972
OH
225200000X
Physical Therapy Assistant
PTA A01986
KY
Other
Enumeration date
11/01/2006
Last updated
07/13/2020
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