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

Individual provider Physical Therapy Assistant · NPI 1891478343

Jeremy Wist is a Physical Therapy Assistant in Kennett Square, Pennsylvania. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
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Practice location Address checks out

101 E State St
Kennett Square, PA 19348-3109
Phone: (800) 728-8808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A3567 (NC)

Record details

NPI number1891478343
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing addressPo Box 656, Etowah, NC 28729-0656

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