Individual
JEFFERY JUDD THALMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5933267-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356470009
CENTRAL UTAH PHYSICAL THERAPY SERVICES, INC.
UT
05
—
870384752005
—
UT
Enumeration date
06/17/2006
Last updated
08/27/2014
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