Individual
JASON HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
4460 S NOLAND RD, INDEPENDENCE, MO 64055-4743
(816) 373-2845
Mailing address
2219 W 79TH ST, PRAIRIE VILLAGE, KS 66208-3827
(970) 691-5252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04610
KS
225100000X
Physical Therapist
Primary
2013023642
MO
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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