MEDICARE: JASON HUNTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2050596	OTHER	TX	LICENSE#

General Provider Information

NPI Number	:	1437341955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON HUNTER

Provider Business Mailing Address
First Line	:	6908 RAPTOR DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-1652
Country	:	US
Telephone Number	:	817-832-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	6908 RAPTOR DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-1652
Country	:	US
Telephone Number	:	817-832-6100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	08/09/2024

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Directions to “ JASON HUNTER ” Practice Location

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