IndividualActive
Jason Eidson, PTA
NPI 1073182903 · Physical Therapy Assistant · Guymon, OK
Provider details
- NPI number
- 1073182903
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 2883 (OK)
Mailing address
211 Nw 5th St
Guymon, OK 73942-4203
Registry dates
- Enumerated
- 2021-06-24
- Last updated
- 2021-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.