JARED CLIVE SANSOM PTA
NPI 1790359594
Physical Therapy Assistant in Boise, ID
About Jared Clive Sansom Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED CLIVE SANSOM PTA (NPI 1790359594) is an individual physical therapy assistant in Boise, Idaho, licensed in Idaho (PTA-4725) and active in the NPI registry since May 2021.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Jared Sansom's NPI number?
The NPI number for Jared Sansom is 1790359594. It was assigned to this individual provider in the NPPES registry on May 17, 2021.
Where is Jared Sansom located?
Jared Sansom practices at 3352 N Kingswood Way, Boise, ID 83704. The listed phone number is (208) 421-5991.
What is Jared Sansom's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Jared Sansom was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.