Provider Demographics
NPI:1982177846
Name:DAPKEVICH, JARED
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:
Last Name:DAPKEVICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20347 TIMBERLAKE RD STE B
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-7352
Mailing Address - Country:US
Mailing Address - Phone:434-237-6812
Mailing Address - Fax:434-509-1695
Practice Address - Street 1:660 MERRIMON AVE STE C
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3567
Practice Address - Country:US
Practice Address - Phone:828-348-1780
Practice Address - Fax:877-922-4820
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist