Individual
KAI FAMULINER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 W ANTELOPE DR STE 320, LAYTON, UT 84041-1172
(801) 702-8475
Mailing address
1660 W ANTELOPE DR STE 320, LAYTON, UT 84041-1172
(801) 702-8475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14287763-2401
UT
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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