Individual
JASON DANIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1577 W 7000 S, #100, WEST JORDAN, UT 84084-7492
(801) 566-6301
Mailing address
9720 S 1300 E, SANDY, UT 84094-3712
(801) 572-0690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9801685-8016
UT
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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