Doctor Name: | MR. JASON L PRIVETT |
NPI Number: | 1548389034 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT008368 |
Business Practice Address: | 7450 S Mason Montgomery Rd Suite 105 Mason, OH - 450407891 |
Business Phone Number: | 5133360540 |
Business Fax Number: | 5133366064 |
Mailing Address: | 11729 Springfield Pike, CINCINNATI |
State: | OH |
Postal Code: | 452462311 |
Phone Number: | 5136715841 |
Fax Number: | 5136715106 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 04/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT008368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |