Individual
JASON G WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
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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