Individual
JASON MICHAEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8142 S STATE ST, ATE 103, MIDVALE, UT 84047-3210
(801) 708-9226
(877) 822-8366
Mailing address
7529 STONE RD, SALT LAKE CITY, UT 84121-5237
(801) 943-8513
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
341753-2401
UT
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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