Male or Other

Jason D. Moss PTA

Physical Therapy Assistant in North Canton, OH(View on Map)

Full Name

Jason D Moss PTA

NPI Number

1245807890

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/10/2021

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

PTA012812

Contact
Information

Purpose

Mailing
Location

Address

7171 KECK PARK CIR NW
7171 KECK PARK CIR NW

City

North Canton
North Canton

State

OH
OH

Postal Code

44720-6301
44720-6301

Country

US
US

Telephone Number

N/A
(330) 498-8200

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/10/2021

Provider Address

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