NPI 1336753011
Jason Lansdale
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
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.