Individual
DR. JASON CHRISTOPHER DORSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., A.T.C.
Contact information
Practice address
1510 S RIORDAN RANCH ST, FLAGSTAFF, AZ 86001-6372
(928) 214-7303
(928) 214-0696
Mailing address
1510 S RIORDAN RANCH ST, FLAGSTAFF, AZ 86001-6372
(928) 214-7303
(928) 214-0696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9032
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0846
ARIZONA ATHLETIC TRAINING STATE LICENSE
AZ
05
—
875843
—
AZ
01
—
9032
ARIZONA PHYSICAL THERAPY LICENSE
AZ
Enumeration date
10/14/2010
Last updated
05/11/2021
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