Individual
MR. JASON MARTIN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
90A CLARK BLVD, TUPELO, MS 38804-2801
(662) 840-0535
(662) 842-7915
Mailing address
1681 VIRGINIA LANE, CORINTH, MS 38834-6569
(662) 840-0535
(662) 842-7915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4554
MS
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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