Individual
JARED S. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2005 W HAPPY VALLEY RD, SUITE 170, PHOENIX, AZ 85085-2893
(623) 322-0654
(623) 322-0664
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 763-0485
(844) 955-2492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11689PT
AZ
Other
Enumeration date
09/14/2015
Last updated
01/07/2021
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