Jaeson B Kawadler, DPT, CSCS
Physical Therapist in Brockton, Massachusetts
1487963302- Practice location
- 49 Pearl St, Brockton, MA 02301-2817
- Phone
- 508-580-9995
- Fax
- —
- Last updated
- September 27, 2010
Jaeson Bryan Kawadler is a Physical Therapist based in Brockton, MA. Jaeson Bryan Kawadler practices in Brockton, MA and has the professional credentials of DPT, CSCS. The NPI Number for Jaeson Bryan Kawadler is 1487963302 and holds a License No. 19284 (MA). The current practice location address for Jaeson Bryan Kawadler is 49 Pearl St, Brockton, MA 02301-2817 and can be reached out via phone at 508-580-9995.
Provider Profile Details
- NPI Number
- 1487963302
- Provider Name
- Jaeson Bryan Kawadler
- Credential
- DPT, CSCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 49 Pearl St, Brockton, MA 02301-2817
- Phone Number
- 508-580-9995
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 27, 2010
- Last Update Date
- September 27, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 Pearl St
Brockton, MA 02301-2817 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-2817
- Phone Number
- 508-580-9995
Provider Business Mailing Address Details
- Address
- 341 W Broadway
Apt 2
Boston, MA 02127-1938 - City
- Boston
- State
- MA
- Zip
- 02127-1938
- Phone Number
- 508-932-6254
License Information
- License Number
- 19284
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jaeson B Kawadler, DPT, CSCS?
The NPI number of Jaeson B Kawadler, DPT, CSCS is 1487963302. It was assigned on September 27, 2010 and is currently active in the NPPES registry.
What is the specialty of Jaeson B Kawadler, DPT, CSCS?
Jaeson B Kawadler, DPT, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 19284.
Where does Jaeson B Kawadler, DPT, CSCS practice?
The practice location is 49 Pearl St, Brockton, MA 02301-2817. The office can be reached at 508-580-9995 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487963302 directly on the NPPES registry website.