Individual
JEREMIAH EVERETT HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Mailing address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
(385) 308-8034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
047341
NY
225100000X
Physical Therapist
070.025932
IL
225100000X
Physical Therapist
Primary
1217970
TX
225100000X
Physical Therapist
13316
CT
225100000X
Physical Therapist
2356
SD
225100000X
Physical Therapist
300868
CA
225100000X
Physical Therapist
PT37235
FL
Other
Enumeration date
10/11/2012
Last updated
03/22/2022
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