Individual
JASON SPEECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
12508 BRIDGEMONT AVE NW, UNIONTOWN, OH 44685-5816
(304) 280-3667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA009503
OH
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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