Jason Wayne Eidson, PTA

NPI #1073182903 in Guymon, Oklahoma

Provider Information

NPI Number
1073182903
Entity Type
Individual
Name
Jason Wayne Eidson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jun 24, 2021
Last Updated
Jun 24, 2021

Practice Location

Address
211 NW 5TH ST
City
Guymon
ZIP Code
73942-4203
Phone
(580) 651-0783

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

Additional Practice Locations

311 S Roosevelt St

Guymon, OK, 73942-5156

(580) 651-0783

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