Individual
JAMIE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
1841 LANE RD, COLUMBUS, OH 43220-3007
(937) 609-7362
Mailing address
65 E WADSWORTH PARK DR STE 230, DRAPER, UT 84020-8096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013366
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891391934
SWORD HEALTH
—
Enumeration date
04/05/2022
Last updated
05/19/2022
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