Individual
JASON GUYNES KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
968 HIGHLAND HILLS RD, GRENADA, MS 38901-9031
(662) 226-3433
Mailing address
968 HIGHLAND HILLS RD, GRENADA, MS 38901-9031
(662) 226-3433
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5569
MS
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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