Individual
JASON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
960 S LOGAN ST APT 101, DENVER, CO 80209-4148
(314) 229-3595
Mailing address
960 S LOGAN ST APT 101, DENVER, CO 80209-4148
(314) 229-3595
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00131102
CO
Other
Enumeration date
01/19/2016
Last updated
01/26/2016
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