Individual
JASON RICHARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
300 E COLLEGE WAY STE B, MOUNT VERNON, WA 98273-5429
(360) 428-6677
(360) 428-7635
Mailing address
PO BOX 1789, MOUNT VERNON, WA 98273-1789
(360) 428-6677
(360) 428-7635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60568247
WA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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