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JASON MICHAEL RODGERS MS PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1942324124

Individual Registrant:
 JASON MICHAEL RODGERS MS PT
Gender: M
Sole Proprietor

Location and contact information for practice:
257 SIDON RD  ROSE BUD, AR 72137-9771 US
Tel: 501-593-2707  Fax: 707-202-3865

Contact information for business:
257 SIDON RD  ROSE BUD, AR 72137-9771 US
Tel: 501-593-2707  Fax: 707-202-3865

Registration Information:
NPI: 1942324124
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ARPT2441

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
140796721AR05




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