Individual
JAYSON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1467 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2653
(248) 658-2110
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005912
MI
Other
Enumeration date
06/18/2019
Last updated
12/15/2021
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