Individual
TYLER JAY OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1492 W ANTELOPE DR, SUITE 100, LAYTON, UT 84041-1139
(801) 825-8091
(801) 825-8142
Mailing address
1492 W ANTELOPE DR, SUITE 100, LAYTON, UT 84041-1139
(801) 825-8091
(801) 825-8142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6640474-2401
UT
Other
Enumeration date
08/29/2007
Last updated
08/19/2008
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