Individual
JASON DOUGLAS WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7730 WOLF RIVER BLVD, SUITE 109, GERMANTOWN, TN 38138-1708
(901) 522-6671
(901) 522-6715
Mailing address
7730 WOLF RIVER BLVD, SUITE 109, GERMANTOWN, TN 38138-1708
(901) 522-6671
(901) 522-6715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6807
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0723280001
PALMETTO
TN
05
—
3645189
—
TN
01
—
4063289
BCBS
TN
01
—
P00314160
RAILROAD MEDICARE
TN
Enumeration date
05/27/2005
Last updated
10/18/2007
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