Individual
MR. JASON LON MEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
551 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8506
(816) 847-5000
(816) 847-5002
Mailing address
2905 N OSAGE ST, INDEPENDENCE, MO 64050-1244
(913) 461-1178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000169048
MO
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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