Whalio Doctors

NPI 1790994242

Jay M Brashear, OTRL

Practitioner Specialist Show Low, AZ

Practice location

Address
2200 E Show Low Lake Rd, Show Low, AZ 85901-7831
Phone
(928) 537-4375
Mailing address
4807 Deer Vly, Lakeside, AZ 85929-5200

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 2401 (AZ)

Registry record

NPI
1790994242
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 May 2007
Record last updated
26 Sep 2012

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.