| Doctor Name: | JEREMY NASH |
| NPI Number: | 1205903457 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT1983 |
| Business Practice Address: | 9b Fieldstone Cmns Tolland, CT - 060843421 |
| Business Phone Number: | 8608709800 |
| Business Fax Number: | 8608709806 |
| Mailing Address: | 435 Hartford Tpke, Suite U VERNON |
| State: | CT |
| Postal Code: | 060664852 |
| Phone Number: | 8609791600 |
| Fax Number: | 2038663014 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 11/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT1983 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |