Individual
JUSTIN LEE CARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5151 S 900 E, SUITE 100, SALT LAKE CITY, UT 84117-6657
(801) 261-3321
(801) 261-5942
Mailing address
5151 S 900 E, SUITE 100, SALT LAKE CITY, UT 84117-6657
(801) 261-3321
(801) 261-5942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4772037-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881989804
—
WA
01
—
P00991060
RR MEDICARE
WA
Enumeration date
06/17/2011
Last updated
08/07/2013
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