NPI 1003048174

Jared Spencer Vagy, PT

Practitioner Physical Therapist Santa Monica, CA

Practice location

Address: 719 Santa Monica Blvd, Santa Monica, CA 90401-2601
Phone: (310) 260-9039
Mailing address: 632 N Catalina St, Burbank, CA 91505-3245

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 35837 (CA)

Other Physical Therapist providers in California →

Registry record

NPI: 1003048174
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2009
Record last updated: 21 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.