Most Relevant Information
Provider Data
| NPI Number: | 1003584962 |
| Provider Name: | JAROD PAUL DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT61186581 |
Most Important Dates
| Enumeration Date: | 09/03/2021 |
| Last Updated: | 09/03/2021 |
Provider Practice Location
7520 TOTEM BEACH RD
TULALIP
WA
982716160
Practice Location Phone/Fax
| Phone: | 3607164511 |
| Fax: |
Provider Mailing Location
1060 VIOLA RD
VIOLA
ID
838729607
Provider Mailing Phone/Fax
| Phone: | 2086690816 |
| Fax: |