Provider Demographics
NPI:1144065889
Name:ASUNCION, JADE GLENN GUIEB (DPT, PT)
Entity type:Individual
Prefix:DR
First Name:JADE GLENN
Middle Name:GUIEB
Last Name:ASUNCION
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1134 E COUNTRY AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-1581
Mailing Address - Country:US
Mailing Address - Phone:575-649-3086
Mailing Address - Fax:
Practice Address - Street 1:840 S AKERS ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-8309
Practice Address - Country:US
Practice Address - Phone:559-624-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2949802251N0400X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology