Individual
MR. JASON WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L, LMT, CLT
Contact information
Practice address
2121 RICHMOND RD STE 210, LEXINGTON, KY 40502-1213
(859) 979-6480
Mailing address
522 SOUTHERN CROSS DR, RICHMOND, KY 40475-7037
(859) 979-2092
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
107028
KY
225X00000X
Occupational Therapist
Primary
252738
KY
Other
Enumeration date
01/10/2020
Last updated
10/31/2024
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