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Contact Information

JASON L ALLEN, MPT, OCS, CFMM
1225 W STADIUM BLVD
JEFFERSON CITY, MO65109-6003
 Phone: 573-556-5770
 Fax: 573-634-7425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JASON L ALLEN · (Male)

NPI # 1902631617
Status Active
Credentials MPT, OCS, CFMM
Entity Individual
Enumeration date 09/03/2024
Last updated 09/03/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2002010998
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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