Individual
JASON C OVERHOLSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
604 WEST WASHINGTION STREET, SUITE B, CARSON CITY, NV 89701
(775) 240-1059
(775) 849-7968
Mailing address
15085 GOLDENROD DR, RENO, NV 89511-7001
(775) 240-1059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1861
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508412
—
NV
Enumeration date
01/19/2007
Last updated
08/22/2018
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