Individual
JASON S LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1004 PROGRESS DR, SUITE 100, LANSING, KS 66043-6326
(913) 351-3838
(913) 351-3939
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(816) 226-4011
(816) 524-6115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103375
KS
225100000X
Physical Therapist
2014023790
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37252038
BCBS KC
—
01
—
KA2868037
MEDICARE PTAN
KS
01
—
MA4370086
MEDICARE PTAN
MO
01
—
USES NPI
BCBS-KANSAS
KS
Enumeration date
08/08/2006
Last updated
08/27/2014
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