Doctor Name: | JASON ROBERT AUGUSTINE |
NPI Number: | 1528084654 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 03779 |
Business Practice Address: | 309 N Ankeny Blvd # 2 Ankeny, IA - 500231750 |
Business Phone Number: | 5159655311 |
Business Fax Number: | 5159655301 |
Mailing Address: | 309 N Ankeny Blvd # 2, ANKENY |
State: | IA |
Postal Code: | 500231750 |
Phone Number: | 5159655311 |
Fax Number: | 5159655301 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 10/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 03779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
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 |