# JLI LC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881020378
- **Authorized official:** JON LAME (OWNER)
- **Authorized official phone:** (801) 990-1990

## Contact information

- **Practice address:** 11075 S STATE ST, BLDG. 35, SANDY, UT 84070-5164
- **Practice address phone:** (801) 990-1990
- **Mailing address:** 11075 S STATE ST, BLDG. 35, SANDY, UT 84070-5164
- **Mailing address phone:** (801) 990-1990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2780612401 | UT | Yes |

## Other

- **Enumeration date:** 09/17/2013
- **Last updated:** 09/17/2013