Individual
JASON ROBERT GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
2270 N CECIL RD, POST FALLS, ID 83854-4417
(360) 808-3888
Mailing address
2270 N CECIL RD, POST FALLS, ID 83854-4417
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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