Whalio Doctors

NPI 1336753011

Jason Lansdale

Practitioner Physical Therapy Assistant Wynne, AR

Practice location

Address
615 Canal Ave E, Wynne, AR 72396-3003
Phone
(870) 238-2233
Fax
(870) 208-8255
Mailing address
1851 Lee 219, Marianna, AR 72360

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA2079 (AR)

Registry record

NPI
1336753011
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Sep 2020
Record last updated
1 Sep 2020

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.