Individual
DR. JASON C SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
460 MYLAN PARK LN, MORGANTOWN, WV 26501-2281
(304) 997-0644
(304) 983-7768
Mailing address
460 MYLAN PARK LN, MORGANTOWN, WV 26501-2281
(304) 997-0644
(304) 983-7768
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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