Jaclyn Nicole Tarnowski, PTA
Individual provider Active NPI Physical Therapy Assistant · Arthur, ND
NPI 1679926331 · NPPES record last updated Jul 18, 2016
Key facts
- NPI
- 1679926331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1179 (ND)
- Practice address
- 150 County Road 34
Arthur, ND 58006-4102 - Phone
- (701) 967-8316
- NPI assigned
- Jul 18, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179 | ND | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1179 | ND | Yes |
Addresses
Primary practice location
150 County Road 34
Arthur, ND 58006-4102
Mailing address
25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Phone (503) 570-3665
Other providers in Arthur, ND
- Jill A Berg
- Beth Bush
- Casselton Drug Inc
- Bridgit Lehfeldt
- Nicole Oster
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
- Katie Elizabeth Thompson
- Amy Jo Winjum
All providers in Arthur, ND · Physical Therapy Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.