Individual
JASON G WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
77 S 400 W, SPANISH FORK, UT 84660-2053
(801) 798-1626
(801) 798-1236
Mailing address
77 S 400 W, SPANISH FORK, UT 84660-2053
(801) 798-1626
(801) 798-1236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
59325932401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629259189
AETNA
UT
01
—
1629259189
UNITED HEALTHCARE
—
05
—
870578539003
—
UT
01
—
QM0000076331
ALTIUS
UT
Enumeration date
08/30/2005
Last updated
10/12/2015
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