Individual
JASON MICHAEL SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21920
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21920
PHYSICAL THERAPIST LICENS
MD
Enumeration date
08/18/2006
Last updated
11/13/2013
Update your record
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