Provider Demographics
NPI:1376794636
Name:STRUNK, JASON (MPT)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:STRUNK
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 N CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-4607
Mailing Address - Country:US
Mailing Address - Phone:610-323-1837
Mailing Address - Fax:610-323-4316
Practice Address - Street 1:724 N CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-4607
Practice Address - Country:US
Practice Address - Phone:610-323-1837
Practice Address - Fax:610-323-4316
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015765225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist