IndividualActive
Jason Mahnke, M.A., A.T.,C.
NPI 1376529875 · Rehabilitation Practitioner · Vero Beach, FL
Provider details
- NPI number
- 1376529875
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.A., A.T.,C.
- Sex
- Male
- License
- AL627 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4001 26th St
Vero Beach, FL 32960-1930
Phone: (702) 497-8057
Fax: (323) 843-9921
Approximate (ZIP-level) locationGet directions
Mailing address
1000 Elysian Park Ave
Los Angeles, CA 90012-1112
Registry dates
- Enumerated
- 2005-12-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.