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Jared Sansom, PTA
NPI 1790359594 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3352 N Kingswood Way
Boise, ID 83704 - Phone
- (208) 421-5991
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-17
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 Idaho