Individual
JASON L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
88 E MEMORIAL DR, POMEROY, OH 45769-9569
(740) 992-0060
(740) 446-5154
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 992-0060
(740) 446-5154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2352
WV
225100000X
Physical Therapist
Primary
PT.010842
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2801650
—
OH
05
—
3810009871
—
WV
Enumeration date
09/04/2007
Last updated
02/18/2014
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