Individual
JASON CLARK GUBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
698 12TH ST, OGDEN, UT 84404-6200
(801) 475-3700
(801) 475-3701
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8704023-2401
UT
225100000X
Physical Therapist
PT-4423
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225486608
—
UT
Enumeration date
05/26/2016
Last updated
06/02/2022
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