Jason Lewis

NPI #1316214745 in Desoto, Texas

Provider Information

NPI Number: 1316214745
Entity Type: Individual
Name: Jason Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 30, 2011
Last Updated: May 16, 2019

Practice Location

Address: 1120 E PLEASANT RUN RD STE 409
City: Desoto
State: Texas
ZIP Code: 75115-3500
Phone: (972) 638-9519

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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