Evans, Jeremy Blake

Evans, Jeremy Blake is an individual health care provider with primary practice located at 1618 Kirby Rd , Carrollton TX 75006-7453. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Evans, Jeremy Blake can be contacted via phone (972) 245-1573.

Contact Information

Primary practice address
1618 Kirby Rd Carrollton TX 75006-7453
Phone: (972) 245-1573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2065866 Texas

Profile Details

NPI number 1326204603
LBN Legal business name Evans, Jeremy Blake
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2008
Last updated Aug 5th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers