Individual
DR. JERAMIE D GAILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4487 SEBAGO WAY, SOUTH JORDAN, UT 84095-5690
(801) 803-9800
(888) 803-9801
Mailing address
4487 SEBAGO WAY, SOUTH JORDAN, UT 84095-5690
(801) 254-9745
(888) 803-9801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5908308-2401
UT
Other
Enumeration date
05/31/2007
Last updated
12/27/2021
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