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Individual

JERRY D. KULLAND

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1180 N VERNAL AVE, STE 3, VERNAL, UT 84078-4819
(435) 789-0022
Mailing address
595 N VERNAL AVE, VERNAL, UT 84078-3701
(435) 789-0022
(435) 789-2955

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
121905-2401
UT
225100000X
Physical Therapist
4616
CO

Other

Enumeration date
06/28/2005
Last updated
10/24/2017
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