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Individual

JASON S LITTLEDIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
48738752401
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48738752400001
BCBS PROVIDER ID#
UT
01
48738752402001
WRHN PROVIDER ID
TX
01
64-00582
UNITED HEALTHCARE ID#
01
64411
PEHP PROVIDER ID
UT
05
D3911/870578539003
UT
01
QM0000076331
ALTIUS PROVIDER ID
UT
Enumeration date
07/29/2005
Last updated
04/18/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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