Provider Demographics
NPI:1568001089
Name:ALLEN, JARRETT CURTIS (DPT)
Entity Type:Individual
Prefix:
First Name:JARRETT
Middle Name:CURTIS
Last Name:ALLEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 TUCKER PHILLIPS DR
Mailing Address - Street 2:
Mailing Address - City:WINGATE
Mailing Address - State:NC
Mailing Address - Zip Code:28174-7200
Mailing Address - Country:US
Mailing Address - Phone:704-502-5553
Mailing Address - Fax:
Practice Address - Street 1:1630 CAMPUS PARK DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5269
Practice Address - Country:US
Practice Address - Phone:704-283-9422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-01
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist