Hyde, Jason Ray

Hyde, Jason Ray is an individual health care provider with primary practice located at 725 Jensen Grove Dr Suite 4, Blackfoot ID 83221-1636. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hyde, Jason Ray can be contacted via phone (208) 227-6255.

Contact Information

Primary practice address
725 Jensen Grove Dr Suite 4 Blackfoot ID 83221-1636
Phone: (208) 227-6255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1987 Idaho

Profile Details

NPI number 1700102662
LBN Legal business name Hyde, Jason Ray
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2010
Last updated Mar 21st, 2013 - about 12 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.

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