Provider Demographics
NPI:1417021171
Name:DARLING, JASON (MPT)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:
Last Name:DARLING
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 1:1322 N ASH ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2804
Mailing Address - Country:US
Mailing Address - Phone:509-326-2300
Mailing Address - Fax:509-326-8635
Practice Address - Street 1:1322 N ASH ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2804
Practice Address - Country:US
Practice Address - Phone:509-326-2300
Practice Address - Fax:509-326-8635
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8336034Medicaid
WA8336034Medicaid
AB21302Medicare ID - Type Unspecified