Individual
JASON MICHAEL RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS PT
Contact information
Practice address
257 SIDON RD, ROSE BUD, AR 72137-9771
(501) 593-2707
(707) 202-3865
Mailing address
257 SIDON RD, ROSE BUD, AR 72137-9771
(501) 593-2707
(707) 202-3865
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2441
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140796721
—
AR
Enumeration date
03/16/2007
Last updated
08/05/2014
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