Individual
JASON DANIEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2312 S 6TH ST STE B, KLAMATH FALLS, OR 97601-4340
(541) 236-2123
(888) 706-1637
Mailing address
3344 PINE GROVE RD, KLAMATH FALLS, OR 97603-8936
(541) 236-2123
(888) 706-1637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4503
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61778
STATE OF OREGON PHYSICAL THERAPIST LICENSING BOARD
OR
Enumeration date
08/05/2014
Last updated
03/03/2020
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