Provider Demographics
NPI:1659861110
Name:NARBER, JASON PAUL (LMT)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:PAUL
Last Name:NARBER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 WALKER DR STE 341E
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-7097
Mailing Address - Country:US
Mailing Address - Phone:814-280-7103
Mailing Address - Fax:
Practice Address - Street 1:270 WALKER DR STE 341E
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7097
Practice Address - Country:US
Practice Address - Phone:814-280-7103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-10
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG005292225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist