Individual
JASON SCOTT SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
900 GAGEL AVE, LOUISVILLE, KY 40216-4012
(502) 368-5827
Mailing address
1808 OAKDALE AVE, GEORGETOWN, IN 47122-8902
(502) 552-8582
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03396
KY
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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