National Provider Identifier
Jared Blank, MS PT
Jared Blank, MS PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 342-2410.
Source: public NPPES record, last updated June 16, 2014. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1093880668
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 21, 2006
- Last Updated
- June 16, 2014
Practice Location
- 2619 Culver RD
- Suite 2A
- Rochester, NY 14609
Phone: (585) 342-2410
Specialties
- Physical Therapist (225100000X)
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Full Record
- NPI
- 1093880668
- Entity Type
- Individual
- Last Name
- Blank
- First Name
- Jared
- Credential
- MS PT
- Mailing Street Address
- 2619 Culver RD
- Mailing Address Line 2
- Suite 2A
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609
- Mailing Country
- US
- Mailing Phone
- (585) 342-2410
- Mailing Fax
- (585) 342-9141
- Practice Street Address
- 2619 Culver RD
- Practice Address Line 2
- Suite 2A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609
- Practice Country
- US
- Practice Phone
- (585) 342-2410
- Practice Fax
- (585) 342-9141
- Enumeration Date
- November 21, 2006
- Last Updated
- June 16, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 021951-1 (NY, PT License)