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

Jerralyn R Wasylyshen, PT

Individual provider Physical Therapist · NPI 1780952093

Jerralyn R Wasylyshen, PT is a Physical Therapist in Chubbuck, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

4650 Hawthorne Rd Ste 2B
Chubbuck, ID 83202-2376
Phone: (208) 238-3349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-1796 (ID)

Record details

NPI number1780952093
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 1, 2011
Last updated in NPPESDecember 1, 2011

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