Individual
MR. JASON GLEN THYNE
Active
Individual
MR. JASON GLEN THYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2035
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47076054332
—
NE
Enumeration date
10/13/2005
Last updated
07/13/2026
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