Provider Demographics
NPI:1568589307
Name:ROBEY, JASON HEATH (MS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:HEATH
Last Name:ROBEY
Suffix:
Gender:M
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 TATER HILL ESTATES DR
Mailing Address - Street 2:APT 2
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-9384
Mailing Address - Country:US
Mailing Address - Phone:757-871-2384
Mailing Address - Fax:
Practice Address - Street 1:APPALACHIAN STATE UNIVERSITY
Practice Address - Street 2:135 JACK BRANCH DR.
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28608-0001
Practice Address - Country:US
Practice Address - Phone:828-262-6265
Practice Address - Fax:828-262-7099
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13152255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer