Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Pulliam

Individual provider Gerontology Occupational Therapist · NPI 1366911257

Jared Pulliam is a Gerontology Occupational Therapist in Rawlins, Wyoming. Works from 2 locations. Licensed in Wyoming.

Licensed in
WY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

542 16th St
Rawlins, WY 82301-5241
Phone: (307) 324-2759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1980 Lynn Dr, Orrville, OH 44667-2337 — (614) 312-7087

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-1425 (WY)
Gerontology Occupational Therapist Taxonomy 225XG0600X

Record details

NPI number1366911257
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2018
Last updated in NPPESJuly 18, 2019
Mailing address812 Watten Ln, Westerville, OH 43081-3777