Most Relevant Information
Provider Data
| NPI Number: | 1003658246 |
| Provider Name: | JARED NUGENT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1391790 |
Most Important Dates
| Enumeration Date: | 06/10/2024 |
| Last Updated: | 06/10/2024 |
Provider Practice Location
350 PHILOMENA DR
KYLE
TX
786402601
Practice Location Phone/Fax
| Phone: | 5128129487 |
| Fax: |
Provider Mailing Location
6701 RIALTO BLVD APT 6115
AUSTIN
TX
787358645
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |