Individual
JASON LEE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT, OCS, CFMM
Contact information
Practice address
1225 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6003
(573) 556-5770
(573) 634-7425
Mailing address
1225 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6003
(573) 556-5770
(573) 634-7425
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2002010998
MO
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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