Provider Demographics
NPI:1023272655
Name:ZEITZ, JASON ANTHONY (PT)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:ANTHONY
Last Name:ZEITZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3922 LONGHORN DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-3734
Mailing Address - Country:US
Mailing Address - Phone:941-544-2664
Mailing Address - Fax:
Practice Address - Street 1:325 N SAINT PAUL ST STE 4200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-3832
Practice Address - Country:US
Practice Address - Phone:866-953-0011
Practice Address - Fax:866-953-0012
Is Sole Proprietor?:No
Enumeration Date:2008-07-13
Last Update Date:2008-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004951225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist