Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Henry

Individual provider Geriatric Physical Therapist · NPI 1891088209

Jason Henry is a Geriatric Physical Therapist in Hannibal, Missouri. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2011
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Practice location Address checks out

164 Lake Apollo Dr
Hannibal, MO 63401-2308
Phone: (858) 200-5690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PT60201832 (WA)

Record details

NPI number1891088209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 17, 2011
Last updated in NPPESMay 17, 2011