Individual
MR. JASON LARRY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3251 W 5400 S, TAYLORSVILLE, UT 84129-3170
(801) 613-4600
Mailing address
5882 ROUND ROCK DR, HERRIMAN, UT 84096-8202
(801) 244-5028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7664549-2401
UT
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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