Individual
JASON MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
Mailing address
11517 S 4340 W, SOUTH JORDAN, UT 84009-8111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9045613-2401
UT
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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