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

Jason Michael Fannin

Individual provider Physical Therapy Assistant · NPI 1740760628

Jason Michael Fannin is a Physical Therapy Assistant in Wylie, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

1420 McCreary Rd
Wylie, TX 75098-8776
Phone: (972) 442-6776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2112130 (TX)

Record details

NPI number1740760628
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESAugust 20, 2018

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