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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JASON RUSSELL, DPT

Active Sole Proprietor

DR. JASON RUSSELL, DPT is a Physical Therapy Assistant healthcare provider located in INDEPENDENCE, Missouri. NPI 1205246006 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · INDEPENDENCE, MO

Registration Details

NPI Number
1205246006
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2014 (12.29023734378 yrs)
Last Updated
May 1, 2014
License
2012027765 (MO)
Sole Proprietor
Yes

Practice Information

Address
3980 SOUTH JACKSON DR
INDEPENDENCE, MO, 64057
Browse MO providers · Browse ZIP 64057
Phone
8167951433
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in INDEPENDENCE, MO

Name Credential NPI
MR. BEN PETERSON MSPT 1144207044
COREY JACOB FORE P.T. 1659359214
BRIAN DOUGLAS STEWART MS, PT, CSCS 1508844259
MICAH JB HUNT PT, MPT 1992748925
MR. RANDY WESTFALL PT, MTC 1841234572
MONICA A CASS 1700994951
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.