Provider Demographics
NPI:1477294346
Name:JASINSKI, GEOFFREY GEORGE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:GEORGE
Last Name:JASINSKI
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 1:7586 WINDY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-8004
Mailing Address - Country:US
Mailing Address - Phone:858-336-9018
Mailing Address - Fax:
Practice Address - Street 1:1154 E MAIN ST STE 106
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-7169
Practice Address - Country:US
Practice Address - Phone:619-486-6448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300838225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist