JASON RUSSELL

INDEPENDENCE, MO
NPI1205246006
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2012027765)
Enumeration Date2014-05-01
Last Update Date2014-05-01
Business Address
Dr. JASON RUSSELL DPT
3980 SOUTH JACKSON DR
INDEPENDENCE, MO 64057
Phone number: 816-795-1433
Mailing Address
Dr. JASON RUSSELL DPT
703 NW PAR DR
GRAIN VALLEY, MO 64029-7347
Phone number: 816-438-9385
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