Individual provider · Type 1 NPI

Jeremy Ray Tjarks, MS, LAT, ATC

Other Specialist/Technologist · Springfield, MO

NPI number 1992063697 Active

Practice location

2135 S Fremont Ave
Springfield, MO 65804-2239

Mailing address

2349 W Nottingham St
Springfield, MO 65810-2298

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000X2009024749 (MO)

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

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About NPI 1992063697

Jeremy Ray Tjarks, MS, LAT, ATC's National Provider Identifier is 1992063697, issued on May 1, 2012. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Springfield, MO. The record was last updated on May 1, 2012.