Provider Demographics
NPI:1205428968
Name:TOBIN, JARRED W (DPT)
Entity type:Individual
Prefix:DR
First Name:JARRED
Middle Name:W
Last Name:TOBIN
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 1:6350 GLENVIEW DR STE 108
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-9584
Mailing Address - Country:US
Mailing Address - Phone:817-907-7993
Mailing Address - Fax:877-887-2564
Practice Address - Street 1:6350 GLENVIEW DR STE 108
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-9584
Practice Address - Country:US
Practice Address - Phone:817-907-7993
Practice Address - Fax:877-887-2564
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1342574225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty