Provider Demographics
NPI:1386457414
Name:METTLER, JASON (ND)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:METTLER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 BILLINGS FARM DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-8360
Mailing Address - Country:US
Mailing Address - Phone:920-901-9890
Mailing Address - Fax:
Practice Address - Street 1:404 BILLINGS FARM DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-8360
Practice Address - Country:US
Practice Address - Phone:920-901-9890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath