Individual
MR. JASON JOHN ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CMT
Contact information
Practice address
5025 GLENARDEN DR, LAS VEGAS, NV 89130-3603
(702) 496-0545
Mailing address
5025 GLENARDEN DR, LAS VEGAS, NV 89130-3603
(702) 496-0545
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506096
NV
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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