Individual
JASON PATRICK GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3500 JOHN F KENNEDY PKWY STE 120, FORT COLLINS, CO 80525-2635
(970) 663-6142
(970) 635-3087
Mailing address
107 W 29TH ST, STE 100, LOVELAND, CO 80538-2797
(970) 663-6142
(970) 635-3087
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9081
CO
Other
Enumeration date
07/17/2006
Last updated
07/18/2019
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