Individual
JARED MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0002
(304) 696-6461
Mailing address
1225 CHARLESTON AVE, HUNTINGTON, WV 25701-3623
(504) 799-9614
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT001457
WV
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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