Provider Demographics
NPI:1467109819
Name:MAHARG, JADEN ANDREW (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JADEN
Middle Name:ANDREW
Last Name:MAHARG
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 MCCLELLAN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:EAST HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59635-9739
Mailing Address - Country:US
Mailing Address - Phone:406-203-0331
Mailing Address - Fax:
Practice Address - Street 1:806 MCCLELLAN CREEK RD
Practice Address - Street 2:
Practice Address - City:EAST HELENA
Practice Address - State:MT
Practice Address - Zip Code:59635-9739
Practice Address - Country:US
Practice Address - Phone:406-203-0331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-06
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-LIC-21588225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist