Individual
DR. JASON C SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002789
WV
2251S0007X
Sports Physical Therapist
PT002789
WV
2251X0800X
Orthopedic Physical Therapist
PT002789
WV
Other
Enumeration date
04/29/2010
Last updated
08/18/2010
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