Individual
JASON KEITH LONGHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10301 JEFFREYS ST, HENDERSON, NV 89052-3922
(702) 939-9412
Mailing address
10301 JEFFREYS ST, HENDERSON, NV 89052-3922
(702) 939-9412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2873
NV
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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