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

Jared Travis Martin

Individual provider Physical Therapy Assistant · NPI 1942784806

Jared Travis Martin is a Physical Therapy Assistant in Jackson, Wyoming. Licensed in Texas and Wyoming. Registered with an NPI since 2018.

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

Practice location Address checks out

625 E Broadway Ave
Jackson, WY 83001-8642
Phone: (307) 733-3636
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2122305 (TX)
Physical Therapy Assistant Taxonomy 225200000X · Licence 0917 (WY)

Record details

NPI number1942784806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESSeptember 17, 2018
Mailing address16710 Via Los Caballeros, Riverside, CA 92504-6172

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