Individual
JIMMIE PAUL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4223 IRIS AVE, MOUNTAIN GREEN, UT 84050-9738
(801) 589-9290
Mailing address
4223 IRIS AVE, MOUNTAIN GREEN, UT 84050-9738
(801) 589-9290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
281326-2401
UT
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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