Jerad Alan Souza, P.T.

Technician · Eureka, CA

Individual Active NPI

NPI number 1013150416

Practice location

720 Wood St
Eureka, CA 95501-4413
Phone
(707) 268-2990

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NPI record

NPI
1013150416
Entity type
Individual (Type 1)
Enumeration date
April 14, 2009
Last updated
May 15, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Technician Primary 374700000X PT32451 CA

Mailing address

1771 Hawkes Rd
McKinleyville, CA 95519-4110
Phone
(805) 441-0196

About Jerad Souza

Jerad Alan Souza, P.T. is a healthcare provider registered in the NPI registry with the primary taxonomy Technician (code 374700000X). The practice location is 720 Wood St, Eureka, CA 95501-4413. The NPI number 1013150416 was assigned on April 14, 2009 and the record was last updated on May 15, 2009.

Jerad Souza lists a license in the registry: #PT32451 (CA) for Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerad Alan Souza, P.T.?

The NPI number is 1013150416.

What is the phone number of Jerad Souza?

The phone number listed for the practice location is (707) 268-2990.

Where is Jerad Souza located?

720 Wood St, Eureka, CA 95501-4413.

What is the taxonomy code for Jerad Souza?

The primary taxonomy code is 374700000X – Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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