Jason Lewis
Physical Therapist in Desoto, TX. Individual provider (NPI-1).
NPI number1316214745
StatusActive
Last updated in NPPESMay 16, 2019
Details
- NPI
- 1316214745
- Entity type
- Individual (NPI-1)
- Name
- Jason Lewis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2011
- Last updated
- May 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
1120 E Pleasant Run Rd Ste 409Desoto, TX 75115-3500
Phone 972-638-9519
Mailing address
3225 Turtle Creek Blvd Apt 1043Dallas, TX 75219-5467
Phone 225-205-7434
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