Individual
JESSICA NASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040.0134018
VT
225100000X
Physical Therapist
Primary
62956
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040.0134018
VERMONT PHYSICAL THERAPIST LICENSE
VT
01
—
62956
OREGON PHYSICAL THERAPIST LICENSE
OR
Enumeration date
09/04/2018
Last updated
09/04/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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