Organization
AETOS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DANIELSON (PHYSICAL THERAPIST)
(801) 450-0008
Entity
Organization
Contact information
Practice address
4386 W MONUMENT PEAK DR, HERRIMAN, UT 84096-3108
(801) 450-0008
Mailing address
4386 W MONUMENT PEAK DR, HERRIMAN, UT 84096-3108
(801) 450-0008
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
11/13/2024
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