Jason Deric Lebel, PT

NPI #1982905972 in Pocatello, Idaho

Provider Information

NPI Number: 1982905972
Entity Type: Individual
Name: Jason Deric Lebel, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 8, 2010
Last Updated: Nov 8, 2010

Practice Location

Address: 4650 HAWTHORNE RD
Address 2: SUITE 2B
City: Pocatello
State: Idaho
ZIP Code: 83202-2376
Phone: (208) 221-6952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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