| Doctor Name: | JASON R DELANEY |
| NPI Number: | 1720354889 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 070011363 |
| Business Practice Address: | 20 Professional Park Dr Suite B Maryville, IL - 620625830 |
| Business Phone Number: | 6182053655 |
| Business Fax Number: | 6186280883 |
| Mailing Address: | 916 Talon Dr, Suite 102 O FALLON |
| State: | IL |
| Postal Code: | 622691848 |
| Phone Number: | 6186328211 |
| Fax Number: | 6186280883 |
| NPI Enumeration Date: | 03/22/2012 |
| NPI Last Update Date: | 11/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070011363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |