Provider Demographics
NPI:1962499558
Name:SPIER, JASON M (PT)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:M
Last Name:SPIER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:7230 GATEWAY BLVD E
Mailing Address - Street 2:SUITE E
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-1352
Mailing Address - Country:US
Mailing Address - Phone:915-599-1119
Mailing Address - Fax:915-592-9334
Practice Address - Street 1:7230 GATEWAY BLVD E
Practice Address - Street 2:SUITE E
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1352
Practice Address - Country:US
Practice Address - Phone:915-599-1119
Practice Address - Fax:915-592-9334
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1089357225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
8A3277Medicare ID - Type Unspecified