NPI 1043651771

Jason Herold, DPT

Practitioner Physical Therapist Independence, MO

Practice location

Address: 4460 S Noland Rd, Independence, MO 64055-4743
Phone: (816) 373-2845
Mailing address: 2219 W 79th St, Prairie Village, KS 66208-3827

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2013023642 (MO)

Other Physical Therapist providers in Missouri →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 11-04610 (KS)

Registry record

NPI: 1043651771
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2013
Record last updated: 10 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.