Individual
JASON COLE BURROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPTA
Contact information
Practice address
2011 GRANDVIEW DR, WAMEGO, KS 66547-1159
(785) 456-9482
Mailing address
410 MAIN ST, WESTMORELAND, KS 66549-9836
(785) 370-5043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402520
KS
225200000X
Physical Therapy Assistant
T-03605
KS
Other
Enumeration date
05/17/2013
Last updated
11/25/2020
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