Individual
JESSE R LEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
Mailing address
27931 481ST AVE, CANTON, SD 57013-5832
(712) 389-2575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6214
SD
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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