Individual
MR. JASON DOUGLAS YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1801 N 98TH STREET, KANSAS CITY, KS 66109
(913) 717-4750
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03965
KS
225100000X
Physical Therapist
PENDING
KS
Other
Enumeration date
05/20/2009
Last updated
03/17/2018
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