Individual
JASON A DERRYBERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
911 NORTH BUFFALO DR, STE 107, LAS VEGAS, NV 89128-0380
(702) 255-7223
(702) 255-6211
Mailing address
911 NORTH BUFFALO DR, STE 107, LAS VEGAS, NV 89128-0380
(702) 255-7223
(702) 255-6211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1512
NV
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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