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

Jared Travis Martin

Individual provider Physical Therapy Assistant · NPI 1942784806

Jared Travis Martin is a Physical Therapy Assistant in Jackson, Wyoming. Licensed in Texas and Wyoming. Registered with an NPI since 2018.

Licensed in
TX, WY
In the registry since
2018
Specialties on file
2

Practice location Address checks out

625 E Broadway Ave
Jackson, WY 83001-8642
Phone: (307) 733-3636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2122305 (TX)
Physical Therapy Assistant Taxonomy 225200000X · Licence 0917 (WY)

Record details

NPI number1942784806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESSeptember 17, 2018

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