NPI 1215493614
Jared Andrew Rose, DPT
Practice location
- Address
- 121 N Washington, Afton, WY 83110
- Phone
- (307) 885-4278
- Fax
- (307) 885-4270
- Mailing address
- 1551 Renaissance Towne Dr STE 350, Bountiful, UT 84010-7674
Registered specialties (2)
Physical Therapist
Primary
Physical Therapist
Registry record
- NPI
- 1215493614
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Feb 2019
- Record last updated
- 10 Jun 2021
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.