Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL BLAKE JASPER, DPT
ActiveMR. RUSSELL BLAKE JASPER, DPT is a Physical Therapy Assistant healthcare provider located in MC GEHEE, Arkansas. NPI 1700037835 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MC GEHEE, AR
Registration Details
- NPI Number
- 1700037835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2008 (17.829633496192 yrs)
- Last Updated
- Apr 14, 2025
- License
-
PT2988 (AR)
Practice Information
- Address
-
210 N. SECOND STREETMC GEHEE, AR, 716542111Browse AR providers · Browse ZIP 71654
- Phone
- 8702651074
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.