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JERRY JOSEPH BOURASSA PHYSICAL THERAPSIT
NPI 1376721779
Specialist in Prescott, AZ

Active since February 07, 2008
146 S GRANITE ST, PRESCOTT, AZ 86303(928) 717-3236 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Joseph Bourassa Physical Therapsit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY JOSEPH BOURASSA PHYSICAL THERAPSIT (NPI 1376721779) is an individual specialist in Prescott, Arizona, licensed in Arizona (1370) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1376721779
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJERRY JOSEPH BOURASSACredential: PHYSICAL THERAPSIT
Location Address146 S GRANITE STPrescott, AZ 86303-4710
Mailing Address146 S Granite StPrescott, AZ 86303-4710 · (928) 717-3236
Phone(928) 717-3236
Sole ProprietorYes
Enumeration DateFebruary 7, 2008
✔ NPI 1376721779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 1370
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
146 S GRANITE ST, Prescott, AZ 86303
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANDRA SUE MCCONNELL PH.D.
Psychologist (School)
146 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (928) 445-5400
MAI NGUYEN
Registered Nurse
146 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (928) 445-5400
DEBORAH KAREN LESSARD O.T.
Specialist
146 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (928) 445-5400
MRS. JAIME GAYLE FESUK
Speech-Language Pathologist
146 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (928) 445-5400
PRESCOTT UNIFIED SCHOOL DISTRICT
Local Education Agency (LEA)
146 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (928) 445-5400
RENE ARITA CRAIN M.S. CCC-SLP
Speech-Language Pathologist
146 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (928) 445-5400
SONIA M DICRISTINA M.S.E., NCSP
Psychologist
146 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (928) 717-3236
TERESA ANN MUELLER-SANCHEZ MS CCC-SLP
Speech-Language Pathologist
146 S GRANITE ST
PRESCOTT, AZ 86303
Yavapai County (928) 445-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Bourassa's NPI number?

The NPI number for Jerry Bourassa is 1376721779. It was assigned to this individual provider in the NPPES registry on February 7, 2008.

Where is Jerry Bourassa located?

Jerry Bourassa practices at 146 S Granite St, Prescott, AZ 86303. The listed phone number is (928) 717-3236.

What is Jerry Bourassa's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jerry Bourassa was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.