Doctor Name: | JASON KEITH LONGHURST |
NPI Number: | 1174923353 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2873 |
Business Practice Address: | 10301 Jeffreys St Henderson, NV - 890523922 |
Business Phone Number: | 7029399412 |
Business Fax Number: | |
Mailing Address: | 10301 Jeffreys St, HENDERSON |
State: | NV |
Postal Code: | 890523922 |
Phone Number: | 7029399412 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2014 |
NPI Last Update Date: | 08/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2873 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |