Jason Scott Haer, PT
Individual provider Active NPI Physical Therapist · Maryville, MO
NPI 1205615994 · NPPES record last updated Sep 22, 2023
Key facts
- NPI
- 1205615994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 109750 (MO)
- Practice address
- 409 W South Hills Dr
Maryville, MO 64468-3639 - Phone
- (660) 562-7830
- NPI assigned
- Sep 22, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109750 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 109750 | MO | Yes |
Addresses
Primary practice location
409 W South Hills Dr
Maryville, MO 64468-3639
Mailing address
27276 Cedar Ridge Dr
Maryville, MO 64468-9487
Other providers in Maryville, MO
- Bryan Robert Green
- Claire Christine Gregson
- Kelly Griffith
- Gage Grispino
- Susan Kay Grispino
- Jaelyn Kelly Haggard
- Addison Marie Hall
- Hallelujah Counseling LLC
- Harold L Poynter OD HL Poynter OD Paul R Poynter OD Optometry Inc
- Adon Harris
All providers in Maryville, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.