Jared Ricks

NPI 1619517711 · on the registry since 2020

Practice

Address: 9502 Novacek Blvd
San Antonio, TX 78254
Phone: (208) 360-9969
Fax: (325) 261-8773
Organisation at this address: Canyon Kids Therapy Llc
Inferred from a shared address, not stated in the registry.

Additional practice sites

1448 E Center St Ste I, Pocatello, ID

Registry record

Primary taxonomy: 225XP0200X
225XP0200X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas