Provider Demographics
NPI:1770096596
Name:KEY, JARROD (LPTA)
Entity type:Individual
Prefix:
First Name:JARROD
Middle Name:
Last Name:KEY
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 ROSS CARTER BLVD
Mailing Address - Street 2:
Mailing Address - City:DUFFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24244
Mailing Address - Country:US
Mailing Address - Phone:276-431-2841
Mailing Address - Fax:276-431-4718
Practice Address - Street 1:157 ROSS CARTER BLVD
Practice Address - Street 2:
Practice Address - City:DUFFIELD
Practice Address - State:VA
Practice Address - Zip Code:24244-5116
Practice Address - Country:US
Practice Address - Phone:276-431-2841
Practice Address - Fax:276-431-4718
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-15
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCP007619A225200000X
2306604789225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant