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Individual

JASON LOVELESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T., D.P.T., NCS

Contact information

Practice address
912 S WASHINGTON AVE, EMMETT, ID 83617-3501
(208) 365-4400
Mailing address
912 S WASHINGTON AVE, EMMETT, ID 83617-3501
(208) 365-4400

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
41923
CA
225100000X
Physical Therapist
Primary
7071991
ID
2251N0400X
Neurology Physical Therapist
10077818-2401
UT

Other

Enumeration date
12/19/2014
Last updated
12/14/2025
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