Provider Demographics
NPI:1730679366
Name:CAPELOTO, JARED CODY (DC)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:CODY
Last Name:CAPELOTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8708 S CONGRESS AVE STE 570
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-7319
Mailing Address - Country:US
Mailing Address - Phone:512-535-4500
Mailing Address - Fax:
Practice Address - Street 1:8708 S CONGRESS AVE STE 570
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-7319
Practice Address - Country:US
Practice Address - Phone:512-535-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13817111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor